Explore Our Health Insurance APIs

Discover APIs that simplify new business onboarding, policy servicing, renewals, endorsements, and claims — all in one place. Our catalogue is designed for partners, platforms, and developers to integrate seamlessly with ABHI health insurance ecosystem.

API Workflow

Experience an Accelerated and Seamless Digital Journey

Follow this API interaction sequence for a smooth onboarding experience:

Initiation via Product Dashboard: The journey begins with the user accessing the Product Selection Dashboard to obtain an instant preliminary quote and select the desired product.
KYC Journey Kickoff: The Start API triggers the Know Your Customer (KYC) process, with the Communication API instantly sharing the KYC link with the user.
KYC Completion and Data Retrieval: Upon successful KYC completion, the system automatically retrieves verified customer details through the KYC Detail Fetch API and proceeds to generate a refined quote using the updated information.
Document Upload and Payment Processing: KYC documents are seamlessly uploaded to the Document Management System via the Upload API. Upon successful completion, the integrated Payment Gateway ensures swift and secure transaction processing.
Final Policy Issuance: The Full Quote API is invoked to issue the final policy, marking the completion of the digital onboarding journey.
Intelligent Retry Mechanism: In case of KYC failure or drop-off, the system intelligently loops back to reinitiate the KYC process by resending the link, ensuring maximum completion rates and operational efficiency.

Integration Prerequisite

Before initiating integration with our platform, please ensure the following prerequisites are fulfilled. These steps are essential to establish a secure and reliable connection between your systems and ours.

IP Whitelisting

To maintain a secure communication channel, we require all partner server IP addresses to be whitelisted.

Please share the static IPs that will be used to access our services so they can be added to our allowlist.

Please email your IP addresses along with the developer’s full name and official email ID to xxxx@adityabirlacapital.com.

Authentication Setup

Secure access to our APIs and services through API Keys. API Keys are unique keys issued to each partner for identification and access control.Developers will receive their API key as part of the onboarding process

Credentials must be stored securely and rotated periodically as per best practices.

SSL/TLS Certificates

All data exchanged between systems must be encrypted using SSL/TLS protocols. The client should have TLS 1.2 while integrating with our platform.

Environment Access

Partners will be provided with access, each environment has distinct endpoints and credentials, which will be shared during the onboarding process.

Sandbox/Test Environment: For development and testing purposes.
Production Environment: Post successful testing and validation.

API Security

Authentication

Azure APIM uses subscription keys (API keys) to authenticate and authorize access to APIs. Each API consumer is issued a unique key, which must be included in the request header or query string.

Header format: Ocp-Apim-Subscription-Key: {your-key}

⚠️ Important Security Note:
Treat your API key like a password. Never expose it in client-side code, public repositories, or unsecured environments. Rotate keys regularly and use policies to restrict access.

Encryption and Decryption

Overview

AES-256 is a symmetric encryption algorithm widely used for secure data encryption. This document outlines the configuration and sample implementations using AES-256 in CBC mode with PKCS5Padding and a 16-byte Initialization Vector (IV).

Key Components

AES-256: 256-bit symmetric key encryption algorithm
CBC Mode: Cipher Block Chaining mode for added security
PKCS5Padding: Padding method used to complete data blocks
IV: 16-byte Initialization Vector (randomly generated)

Requirements

Key: Must be 32 bytes (256 bits)
IV: 16-byte Initialization Vector (randomly generated)
Block Size: AES block size is always 16 bytes
Padding: PKCS5Padding (identical to PKCS7 for AES)
Body: IV in Base64 string prepend to encrypted payload with '.'

Security Note

Never reuse the same IV with the same key.

Always transmit IV along with the payload (concatenated with “.” ).

Overview-Encyption

Secret Key (Encryption Key): Provided statically for UAT and Production environments.

IV (Initialization Vector): Dynamically generated per request.

Encryption Details:
Algorithm: AES
Mode: CBC (Cipher Block Chaining)
Padding: PKCS5Padding

Encryption Steps

STEP 1:Convert Request Body to Bytes

byte[] textinBytes = Encoding.UTF8.GetBytes(requestBodyObject);

STEP 2: Convert the Secret Key to Bytes

byte[] Key = System.Text.Encoding.UTF8.GetBytes(Secret_Key);

Ensure the key length is appropriate for AES (32 for AES-256).

STEP 3: Generate a Random IV

byte[] IV = new byte[16];
using (var rng = new RNGCryptoServiceProvider())
{
    rng.GetBytes(IV);
}

STEP 4: Encrypt the Request

Encrypt using AES, CBC mode, PKCS5Padding, Secret Key and IV.

STEP 5: Encode the Encrypted Bytes in Base64

string encryptedBase64 = Convert.ToBase64String(encryptedBytes);

STEP 6: Encode the IV in Base64

string IVBase64 = Convert.ToBase64String(IV);

STEP 7: Compose the Final Encrypted Payload

string finalPayload = IVBase64 + "." + encryptedBase64;

Final Output

<Base64(IV)>.<Base64(EncryptedPayload)>

Security Notes

Always validate that the key is of valid length (32 bytes).
Never reuse the IV for multiple encryptions with the same key.
Store and transmit the IV along with the encrypted data (as done here).

Context-Decryption

You are receiving a payload formatted as:

<Base64(IV)>.<Base64(EncryptedData)>

You will need to:

Split the string
Decode both IV and cipher text from Base64
Use the same Secret Key aka Encryption Key
Decrypt using AES, CBC, PKCS7 Padding

Decryption Steps

Step 1: Split the Payload

The encrypted payload is a dot-separated string:

<Base64EncodedIV>.<Base64EncodedEncryptedData>

Use Split('.') to extract both parts:

string[] parts = encryptedPayload.Split('.');
string ivBase64 = parts[0];
string encryptedBase64 = parts[1];

Step 2: Decode Base64 Strings

byte[] iv = Convert.FromBase64String(ivBase64);
byte[] encryptedBytes = Convert.FromBase64String(encryptedBase64);

STEP 3: Convert the Secret Key to Bytes

byte[] Key = System.Text.Encoding.UTF8.GetBytes(Secret_Key);

Ensure the key length is appropriate for AES (32 for AES-256).

STEP 4: Decrypt the Response

Decrypt the encryptedBytes using:

AES
CBC mode
PKCS5Padding
Secret Key and IV

byte[] decryptedBytes = inBytes.Decrypt("Aes", Key, IV);

STEP 5: Final Output

Convert the decryptedBytes into a string and return it:

return Encoding.UTF8.GetString(decryptedBytes);

Generic Error Codes

Code	Meaning	Description
200 OK	Success	The request was successful and returned the expected response.
404 Not Found	Client Error	The requested endpoint or resource does not exist.
500 Internal Server Error	Server Error	Something went wrong on the server.
429 Too Many Requests	Client Error	Rate limit exceeded; slow down your request frequency.

Activ One

In a world of instant groceries and fingertip finance, accessing insurance tailored to your health & health insurance goals is equally important. Meet Activ One NXT Health Insurance Plan from Aditya Birla Health Insurance — a health insurance plan which aims to provide a seamless personalized experience to enable your journey of health insurance while rewarding you for staying healthy.

Request Payload

Parent Node	Field Name	Data Type	Data Length	Mandatory/Non-mandatory	Business Logic & Validations
Client Creation		Object
	salutation	string	5	Yes	Reference Master Value e.g. Dr, M/S , Miss, Mr, Mrs , Ms, Others
	firstName	string	250	Yes	First name of proposer
	middleName	string	250	No	Middle name of proposer
	lastName	string	250	Yes	Last name of proposer
	dateofBirth	string	-	Yes	DOB of proposer. Only MM/DD/YYYY Format will be Accepted
	gender	string	3	Yes	Reference Master Value (M, F, T)
	educationalQualification	string	20	No	Reference Master Value (Below Metric, Graduate, etc.)
	pinCode	string	25	Yes	Pincode of Proposer
	uidNo	string	30	No	UID number
	maritalStatus	string	10	Yes	Reference Master Value
	nationality	string	200	Yes	Reference Master Value (Indian, NRI, etc.)
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number

Sample Request Payload

{

  "ClientCreation": {

    "salutation": "Mr",

    "firstName": "Dummy",

    "middleName": "",

    "lastName": "Dummy",

    "dateofBirth": "01/01/199",

    "gender": "M",

    "educationalQualification": "",

    "otherEducationalQualification": "",

    "emergencyContactName": "",

    "emergencyContactNo": "",

    "emergencyContactRelation": "",

    "pinCode": "491559",

    "uidNo": "XXXXXXXXXXXX",

    "UIDAcknowledgementNo": "",

    "maritalStatus": "Single",

    "nationality": "Indian",

    "occupation": "Business",

    "otherOccupation": "",

    "primaryEmailID": "dummy@gmail.com",

    "contactMobileNo": "9XXXXXXXXX",

    "stdLandlineNo": "",

    "panNo": "XXXXXXXXXX",

    "passportNumber": "",

    "contactPerson": "ABCD ABCD",

    "annualIncome": "1000000",

    "remarks": "",

    "startDate": "",

    "endDate": "",

    "IdProof": "Pan Card",

    "residenceProof": "",

    "ageProof": "",

    "others": "",

    "homeAddressLine1": "S/O: xxx HOUSE NUM 01",

    "homeAddressLine2": "XXXXXX",

    "homeAddressLine3": "XXXXX",

    "homePinCode": 491559,

    "homeArea": "",

    "homeContactMobileNo": "",

    "homeContactMobileNo2": "",

    "homeSTDLandlineNo": "",

    "homeSTDLandlineNo2": "",

    "homeFaxNo": "",

    "sameAsHomeAddress": "0",

    "mailingAddressLine1": "House Num 01 XXXXXX",

    "mailingAddressLine2": "",

    "mailingAddressLine3": "",

    "mailingPinCode": "491559",

    "mailingArea": "",

    "mailingContactMobileNo": "",

    "mailingContactMobileNo2": "",

    "mailingSTDLandlineNo": "",

    "mailingSTDLandlineNo2": "",

    "mailingFaxNo": "",

    "bankAccountType": "",

    "bankAccountNo": "9XXXXXXXXXXXX",

    "ifscCode": "UTIB0004584",

    "GSTIN": "",

    "GSTRegistrationStatus": "Consumers",

    "WhatsAppNo": "9XXXXXXXXX"

  },

  "PolicyCreationRequest": {

    "Quotation_Number": "",

    "Product_Code": "7200",

    "Plan_Code": "SAVR",

    "SumInsured_Type": "Individual",

    "Policy_Tanure": "3",

    "Member_Type_Code": "AH01",

    "intermediaryCode": "2101502",

    "AutoRenewal": "0",

    "intermediaryBranchCode": null,

    "agentSignatureDate": null,

    "Customer_Signature_Date": null,

    "businessSourceChannel": null,

    "AssignPolicy": "0",

    "AssigneeName": null,

    "leadID": "587019499",

    "Source_Name": "AXIS_NETB",

    "SPID": "SP0069566554",

    "TCN": "",

    "CRTNO": "",

    "RefCode1": "361156",

    "RefCode2": "4584",

    "Employee_Number": "",

    "enumIsEmployeeDiscount": "",

    "QuoteDate": "10/09/2024",

    "IsPayment": "0",

    "goGreen": "",

    "Tokenized_Customer_Id": "OXXXXXXXXXXXXX",

    "App_Id": "SIDDHI",

    "familyDoctor": {

      "fullName": "",

      "qualification": "",

      "emailId": "",

      "RegistrationNumber": "",

      "addressLine1": "",

      "addressLine2": "",

      "pinCode": "",

      "contact_number": ""

    },

    "PaymentGatewayName": null,

    "CKYC_Flag": "Y",

    "CKYC_Number": "2XXXXXXXXXXXX",

    "Hyper_verge_OPD_Status": "N",

    "Digi_Locker_Verified": "N",

    "KYC_Transition_Id": "AXXXXXXXXXXXXXX",

    "ifPEP": "N",

    "Portal_PEP": "N",

    "ifAML": "N",

    "ifFaceMatch": "N",

    "PreIssuanceDate": null,

    "PreIssuanceTime": null,

    "ABGemployee": "N",

    "empID": ""

  },

  "MemObj": {

    "Member": [

      {

        "MemberNo": "1",

        "Salutation": "Mr",

        "First_Name": "Dummy",

        "Middle_Name": "",

        "Last_Name": "Dummy",

        "Gender": "M",

        "DateOfBirth": "01/01/1990",

        "Relation_Code": "R001",

        "Marital_Status": "Single",

        "Email": "krishna@gmail.com",

        "Mobile_Number": "9xxxxxxxxx",

        "IdProof": "PAN CARD",

        "IdProofNumber": "xxxxxxxxxx",

        "height": "165.10",

        "weight": "65.00",

        "occupation": "Business",

        "NatureOfDuty": "Architects",

        "Designation": "NA",

        "PrimaryMember": "N",

        "nameofsurgeryifany": null,

        "disabilityPercentage": null,

        "PeriodOfHospIfAny": null,

        "anyOtherInformation": null,

        "optionalCovers": [

          {

            "optionalCoverName": "Tele – OPD consultation",

            "optionalCoverValue": "",

            "CoverPartCode": "",

            "CoverPartValue": ""

          },

          {

            "optionalCoverName": "Cancer Booster",

            "optionalCoverValue": "",

            "CoverPartCode": "",

            "CoverPartValue": ""

          }

        ],

        "productComponents": [

          {

            "productComponentName": "Conditions",

            "productComponentValue": "Non-Chronic"

          },

          {

            "productComponentName": "RoomCategory",

            "productComponentValue": "UPTOSI"

          },

          {

            "productComponentName": "SumInsured",

            "productComponentValue": "1000000"

          },

          {

            "productComponentName": "Zone",

            "productComponentValue": "Z003"

          }

        ],

        "Hospi_Obj": [

          {

            "Hospi_Title": "Mrs",

            "Hospi_UserName": "ABCD ABCD",

            "Hospi_DOB": "01/01/1980",

            "Hospi_Gender": "F",

            "Hospi_Age": "44",

            "Hospi_RelationWithProposer": "R005"

          }

        ],

        "PreviousInsuranceDetails": [],

        "MemberPED": [],

        "MemberQuestionDetails": [],

        "exactDiagnosis": null,

        "dateOfDiagnosis": null,

        "lastDateConsultation": null,

        "detailsOfTreatmentGiven": null,

        "doctorName": null,

        "hospitalName": null,

        "phoneNumberHosital": null,

        "labReport": null,

        "dischargeCardSummary": null,

        "personalHabitDetail": [],

        "chronicDiseaseAshma": [],

        "chronicDiseaseDiabetes": [],

        "chronicDiseaseHighBloodPressure": [],

        "chronicDiseaseHighCholesterol": [],

        "Nominee_First_Name": "SARASWATI PUSAM",

        "Nominee_Last_Name": null,

        "Nominee_Contact_Number": "9XXXXXXXX",

        "Nominee_Home_Address": null,

        "Nominee_Relationship_Code": "R005",

        "whetheroccupationrequire": [],

        "MemberproductComponents": null,

        "ABHA_Verified": "No",

        "ABHA_Number": "",

        "ABHA_Address": null,

        "ABHA_Consent": "No"

      }

    ]

  },

  "ReceiptCreation": {}

}

Response Payload

Parent Node	Field Name	Data Type	Description
PolCreationRespons	quoteNumber	String	Unique identifier for the quote
	customerId	String	Customer's unique ID
	Source_Name	String	Source system or channel name
	productName	String	Name of the insurance product
	productCode	String	Code representing the product
	lineOfBusiness	String	Type of insurance business
	quoteStatus	String	Status of the quote
	quoteValidFromDate	String (Date)	Start date of quote validity
	quoteValidToDate	String (Date)	End date of quote validity
	policyNumber	String	Policy number
	proposalNumber	String	Proposal number
	policyStatus	String	Status of the policy
	tenure	String	Duration of the policy in years
	stpflag	String	Straight-through processing flag
	MedicalTestInfo	String	Medical test information
	premiumDetails	Array	Contains premium-related details
Premium	BasePremium	String	Original premium before discounts/loadings
	NetPremium	String	Premium after discounts
	ServiceTax	String	Service tax amount
	SBC	String	Swachh Bharat Cess
	KKC	String	Krishi Kalyan Cess
	BMI_loading	String	Loading based on BMI
	GrossPremium	String	Total premium before final adjustments
	FinalPremium	String	Final payable premium
ErrorObject	errorCode	String	Error code
ErrorObject	errormessage	String	Error message
ReceiptCreationResponse	errorMessage	String	Message indicating success or failure
	errorNumber	String	Error number
	ReceiptNumber	String	Receipt number generated
	ReceiptAmount	String	Amount received
	ExcessAmount	String	Excess amount if any

Sample Response Payload

{

    "PolCreationRespons": {

        "quoteNumber": "QE00041441XXXXX",

        "customerId": "PT8768XXXX",

        "Source_Name": "AXIS_NETB",

        "productName": "Activ One",

        "Plan": "",

        "productCode": "7200",

        "lineOfBusiness": "HEALTH",

        "quoteStatus": "IF",

        "quoteValidFromDate": "09/11/2024",

        "quoteValidToDate": "09/10/2027",

        "policyNumber": "31-24-000XXXX-00",

        "proposalNumber": "QE0004144XXXXX",

        "policyStatus": "IF",

        "tenure": "3",

        "stpflag": "STP",

        "premiumDetails": {

            "Premium": {

                "BasePremium": "36098",

                "RiderAmount": "",

                "NetPremium": "32488",

                "ServiceTax": "5848",

                "SBC": "0",

                "KKC": "0",

                "BMI_loading": "0.0",

                "GrossPremium": "38336",

                "FinalPremium": "38336",

                "Discount_Amount": "3610",

                "Loading_Amount": "0",

                "Emi_Amount": ""

            }

        },

        "MedicalTestInfo": "",

        "errorList": {

            "ErrorObject": {

                "errorCode": "0",

                "errormessage": ""

            }

        }

    },

    "ReceiptCreationResponse": {

        "errorMessage": "Sucess ",

        "errorNumber": "0",

        "ReceiptNumber": "DR-23-24-0XXXXX",

        "ReceiptAmount": "74392.0",

        "ExcessAmount": ""

    }

}

Activ Health

Do you like it when life rewards you for your hard work? How would you feel if your health insurance plan rewarded you for your efforts towards staying healthy? Presenting the Activ Health Platinum Enhanced Plan that rewards you with up to 100% HealthReturnsTM for staying active and healthy! What is more it partners with you on your health journey with its Chronic Management Program. Want to know something even more extraordinary? The Activ Health Platinum Enhanced Plan also provides a Sum Insured of up to ₹2 crores along with a host of exceptional benefits.

Request Payload

Parent Node	Field Name	Data Type	Data Length	Mandatory/Non-mandatory	Business Logic & Validations
Client Creation		Object
	salutation	string	5	Yes	Reference Master Value e.g. Dr, M/S , Miss, Mr, Mrs , Ms, Others
	firstName	string	250	Yes	First name of proposer
	middleName	string	250	No	Middle name of proposer
	lastName	string	250	Yes	Last name of proposer
	dateofBirth	string	-	Yes	DOB of proposer. Only MM/DD/YYYY Format will be Accepted
	gender	string	3	Yes	Reference Master Value (M, F, T)
	educationalQualification	string	20	No	Reference Master Value (Below Metric, Graduate, etc.)
	pinCode	string	25	Yes	Pincode of Proposer
	uidNo	string	30	No	UID number
	maritalStatus	string	10	Yes	Reference Master Value
	nationality	string	200	Yes	Reference Master Value (Indian, NRI, etc.)
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number

Sample Request Payload


{
  "ClientCreation": {
    "salutation": "Mr",
    "firstName": "dummy",
    "middleName": "dummy",
    "lastName": "dummy",
    "dateofBirth": "22/05/1996",
    "gender": "M",
    "educationalQualification": "",
    "pinCode": "400605",
    "uidNo": "",
    "maritalStatus": "Married",
    "nationality": "Indian",
    "occupation": "dummy",
    "primaryEmailID": "dummy@gmail.com",
    "contactMobileNo": "7xxxxx",
    "stdLandlineNo": "0000000000",
    "panNo": "AUKPG5286G",
    "passportNumber": "",
    "contactPerson": "",
    "annualIncome": 500000,
    "remarks": "dummy",
    "startDate": "24/05/2021",
    "endDate": "24/05/2021",
    "IdProof": "",
    "residenceProof": "",
    "ageProof": "",
    "others": "",
    "homeAddressLine1": "line1",
    "homeAddressLine2": "line2",
    "homeAddressLine3": "line3",
    "homePinCode": "400605",
    "homeArea": "area",
    "homeContactMobileNo": "0000000000",
    "homeContactMobileNo2": "0000000000",
    "homeSTDLandlineNo": "",
    "homeSTDLandlineNo2": "",
    "homeFaxNo": "",
    "sameAsHomeAddress": 1,
    "mailingAddressLine1": "line1",
    "mailingAddressLine2": "line2",
    "mailingAddressLine3": "line3",
    "mailingPinCode": "400605",
    "mailingArea": "area",
    "mailingContactMobileNo": "",
    "mailingContactMobileNo2": "",
    "mailingSTDLandlineNo": "",
    "mailingSTDLandlineNo2": "",
    "mailingFaxNo": "",
    "bankAccountType": "",
    "bankAccountNo": "",
    "ifscCode": "",
    "GSTIN": "",
    "GSTRegistrationStatus": "Consumers",
    "IsEIAavailable": "0",
    "ApplyEIA": "0",
    "EIAAccountNo": "",
    "EIAWith": "",
    "AccountType": "",
    "AddressProof": "",
    "DOBProof": "",
    "IdentityProof": "",
    "UIDAcknowledgementNo": ""
  },
  "PolicyCreationRequest": {
    "Quotation_Number": "21400010xxxx",
    "Product_Code": 6212,
    "Plan_Code": "6212100003",
    "SumInsured_Type": "Individual",
    "Member_Type_Code": "AH01",
    "AutoRenewal": "N",
    "intermediaryBranchCode": "10MHMUM02",
    "agentSignatureDate": "24/05/2021",
    "Customer_Signature_Date": "24/05/2021",
    "businessSourceChannel": "",
    "Source_Name": "Policy Bazar",
    "SPID": "",
    "RefCode1": "",
    "RefCode2": "",
    "TCN": "",
    "EmployeeNumber": "",
    "EmployeeDiscount": "",
    "QuoteDate": "24/05/2021",
    "CRTNO": "",
    "IsPayment": "1",
    "goGreen": 0,
    "familyDoctor": {
      "fullName": "",
      "qualification": "",
      "emailId": "",
      "RegistrationNumber": "",
      "addressLine1": "",
      "addressLine2": "",
      "pinCode": "",
      "contact_number": ""
    },
    "leadID": "INVI1204201800xxxx",
    "intermediaryCode": "2103129",
    "Policy_Tanure": "1"
  },
  "MemObj": {
    "Member": [
      {
        "MemberNo": 1,
        "Salutation": "Mr",
        "First_Name": "dummy",
        "Middle_Name": "dummy",
        "Last_Name": "dummy",
        "Gender": "M",
        "DateOfBirth": "22/05/1999",
        "Relation_Code": "R001",
        "Marital_Status": "Single",
        "height": 167,
        "weight": 72.8,
        "occupation": "",
        "PrimaryMember": "Y",
        "optionalCovers": [
          { "optionalCoverName": "Maternity Expenses", "optionalCoverValue": "1000" },
          { "optionalCoverName": "OPD Expenses", "optionalCoverValue": "2000" }
        ],
        "productComponents": [
          { "productComponentName": "Conditions", "productComponentValue": "Non-Chronic" },
          { "productComponentName": "SumInsured", "productComponentValue": "500000" },
          { "productComponentName": "Zone", "productComponentValue": "Z001" },
          { "productComponentName": "RoomCategory", "productComponentValue": "Single Private Room" }
        ],
        "MemberPED": [
          { "PEDCode": "", "Remarks": "" }
        ],
        "exactDiagnosis": "",
        "dateOfDiagnosis": "24/05/2021",
        "lastDateConsultation": "24/05/2021",
        "detailsOfTreatmentGiven": "",
        "doctorName": "",
        "hospitalName": "",
        "phoneNumberHosital": "",
        "labReport": "",
        "dischargeCardSummary": "",
        "personalHabitDetail": [
          { "numberOfYears": "", "count": "", "type": "" }
        ],
        "Nominee_First_Name": "Testtest",
        "Nominee_Last_Name": "Test",
        "Nominee_Contact_Number": "",
        "Nominee_Home_Address": "",
        "Nominee_Relationship_Code": "R009"
      }
    ]
  },
  "ReceiptCreation": {
    "officeLocation": "Mumbai",
    "modeOfEntry": "DIRECT",
    "cdAcNo": "",
    "expiryDate": "",
    "payerType": "Customer",
    "payerCode": "",
    "paymentBy": "Customer",
    "paymentByName": "dummy dummy",
    "paymentByRelationship": "Self",
    "collectionAmount": "505197.00",
    "collectionRcvdDate": "",
    "collectionMode": "Online Collections",
    "remarks": "",
    "instrumentNumber": "403993715523677xxxxx",
    "instrumentDate": "08/04/2021",
    "bankName": "",
    "branchName": "",
    "bankLocation": "",
    "micrNo": "",
    "chequeType": "",
    "ifscCode": "",
    "PaymentGatewayName": "HDFC Pay-U Massmarket",
    "TerminalID": "7600xxxx",
    "cardno": ""
  }
}

Response Payload

Parent Node	Field Name	Data Type	Description
PolCreationRespons	quoteNumber	String	Unique identifier for the quote
	customerId	String	Customer's unique ID
	Source_Name	String	Source system or channel name
	productName	String	Name of the insurance product
	productCode	String	Code representing the product
	lineOfBusiness	String	Type of insurance business
	quoteStatus	String	Status of the quote
	quoteValidFromDate	String (Date)	Start date of quote validity
	quoteValidToDate	String (Date)	End date of quote validity
	policyNumber	String	Policy number
	proposalNumber	String	Proposal number
	policyStatus	String	Status of the policy
	tenure	String	Duration of the policy in years
	stpflag	String	Straight-through processing flag
	MedicalTestInfo	String	Medical test information
	premiumDetails	Array	Contains premium-related details
Premium	BasePremium	String	Original premium before discounts/loadings
	NetPremium	String	Premium after discounts
	ServiceTax	String	Service tax amount
	SBC	String	Swachh Bharat Cess
	KKC	String	Krishi Kalyan Cess
	BMI_loading	String	Loading based on BMI
	GrossPremium	String	Total premium before final adjustments
	FinalPremium	String	Final payable premium
ErrorObject	errorCode	String	Error code
ErrorObject	errormessage	String	Error message
ReceiptCreationResponse	errorMessage	String	Message indicating success or failure
	errorNumber	String	Error number
	ReceiptNumber	String	Receipt number generated
	ReceiptAmount	String	Amount received
	ExcessAmount	String	Excess amount if any

Sample Response Payload


{
  "PolCreationRespons": {
    "quoteNumber": "21400010xxxx",
    "customerId": "PT005xxxxx",
    "Source_Name": "Policy Bazar",
    "productName": "Activ Health V2",
    "Plan": "",
    "productCode": "6212",
    "lineOfBusiness": "HEALTH",
    "quoteStatus": "UW",
    "quoteValidFromDate": "24/05/2021",
    "quoteValidToDate": "23/05/2022",
    "policyNumber": "",
    "proposalNumber": "2140001xxxxx",
    "policyStatus": "UW",
    "tenure": "1",
    "stpflag": "NSTP",
    "premiumDetails": {
      "Premium": {
        "BasePremium": "6046",
        "NetPremium": "6046",
        "ServiceTax": "1088",
        "SBC": "0",
        "KKC": "0",
        "BMI_loading": "0.0",
        "GrossPremium": "7134",
        "FinalPremium": "7134"
      }
    },
    "MedicalTestInfo": "",
    "errorList": {
      "ErrorObject": {
        "errorCode": "0",
        "errormessage": ""
      }
    }
  },
  "ReceiptCreationResponse": {
    "errorMessage": "Sucess ",
    "errorNumber": "0",
    "ReceiptNumber": "RR-21-22-03xxxx",
    "ReceiptAmount": "505197.0",
    "ExcessAmount": ""
  }
}

Activ Fit

If you are between 25 to 35 years of age and live a healthy & fit lifestyle, you can benefit the most from our health insurance policy a policy that rewards you for being young and staying healthy along with protecting you in times of need! Presenting Aditya Birla Health Insurance Activ Fit plan a Health Insurance plan that is tailor-made for you, your needs, and your health goals. With this plan, you get 10-50-100! What does that mean? 10% Upfront Good Health Discount and Early Bird Discount, 50% HealthReturnsTM and 100% Unlimited Sum Insured Refill. Read on to know more.

Request Payload

Parent Node	Field Name	Data Type	Data Length	Mandatory/Non-mandatory	Business Logic & Validations
Client Creation		Object
	salutation	string	5	Yes	Reference Master Value e.g. Dr, M/S , Miss, Mr, Mrs , Ms, Others
	firstName	string	250	Yes	First name of proposer
	middleName	string	250	No	Middle name of proposer
	lastName	string	250	Yes	Last name of proposer
	dateofBirth	string	-	Yes	DOB of proposer. Only MM/DD/YYYY Format will be Accepted
	gender	string	3	Yes	Reference Master Value (M, F, T)
	educationalQualification	string	20	No	Reference Master Value (Below Metric, Graduate, etc.)
	pinCode	string	25	Yes	Pincode of Proposer
	uidNo	string	30	No	UID number
	maritalStatus	string	10	Yes	Reference Master Value
	nationality	string	200	Yes	Reference Master Value (Indian, NRI, etc.)
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number

Sample Request Payload


{
  "ClientCreation": {
    "salutation": "Mr",
    "firstName": "dfgd",
    "middleName": "",
    "lastName": "ghjgh",
    "dateofBirth": "02/03/2004",
    "gender": "M",
    "educationalQualification": "3",
    "pinCode": "421306",
    "uidNo": "",
    "maritalStatus": "Single",
    "nationality": "Indian",
    "occupation": "CA",
    "primaryEmailID": "qwer@gmail.com",
    "contactMobileNo": "7xxxxxxxxx",
    "stdLandlineNo": null,
    "panNo": "",
    "passportNumber": null,
    "contactPerson": "xcvxc",
    "annualIncome": "1000000",
    "remarks": null,
    "startDate": null,
    "endDate": null,
    "IdProof": "Others",
    "residenceProof": null,
    "ageProof": "itrtur",
    "others": null,
    "homeAddressLine1": "36343",
    "homeAddressLine2": "",
    "homeAddressLine3": null,
    "homePinCode": null,
    "homeArea": null,
    "homeContactMobileNo": null,
    "homeContactMobileNo2": null,
    "homeSTDLandlineNo": null,
    "homeSTDLandlineNo2": null,
    "homeFaxNo": null,
    "sameAsHomeAddress": "1",
    "mailingAddressLine1": null,
    "mailingAddressLine2": null,
    "mailingAddressLine3": null,
    "mailingArea": null,
    "mailingContactMobileNo": null,
    "mailingContactMobileNo2": null,
    "mailingSTDLandlineNo": null,
    "mailingSTDLandlineNo2": null,
    "mailingFaxNo": null,
    "bankAccountType": null,
    "bankAccountNo": null,
    "ifscCode": null,
    "GSTIN": "",
    "GSTRegistrationStatus": "Consumers"
  },
  "PolicyCreationRequest": {
    "Quotation_Number": "22000034xxxx",
    "QuoteDate": "02/09/2022",
    "Product_Code": "7100",
    "Plan_Code": "7100100001",
    "SumInsured_Type": "Family Floater",
    "Policy_Tanure": "3",
    "Member_Type_Code": "M750",
    "intermediaryCode": "2100465",
    "AutoRenewal": "N",
    "intermediaryBranchCode": "10GJVAD01",
    "agentSignatureDate": null,
    "Customer_Signature_Date": null,
    "businessSourceChannel": null,
    "leadID": "LEAD-104330987",
    "Source_Name": "HDFC_NETB",
    "SPID": null,
    "RefCode1": null,
    "RefCode2": null,
    "RefCode6": "14510096767xxxxx",
    "TCN": null,
    "goGreen": "0",
    "CRTNO": null,
    "BusinessType": "New Business",
    "IsPayment": "1",
    "TeleOpd": null,
    "familyDoctor": {
      "fullName": "",
      "qualification": "",
      "emailId": "",
      "RegistrationNumber": "",
      "addressLine1": "",
      "addressLine2": "",
      "pinCode": "",
      "contact_number": ""
    },
    "Whether_Employee_Affiliate": null,
    "EmployeeId": null,
    "Affiliate_Employee_ID": null,
    "Name_of_Affiliate": null,
    "EmployeeDiscount": null,
    "AutoDebit": null,
    "EnumIsMandate": null,
    "TrackerRefCode": null
  },
  "MemObj": {
    "Member": [
      {
        "MemberNo": "1",
        "Salutation": "Mr",
        "First_Name": "dfgd",
        "Middle_Name": "",
        "Last_Name": "ghjgh",
        "Gender": "M",
        "DateOfBirth": "02/03/2004",
        "Relation_Code": "R001",
        "Marital_Status": "Single",
        "height": "135.00",
        "weight": "50.00",
        "occupation": "",
        "NatureOfDuty": "",
        "Designation": null,
        "annualIncome": null,
        "PrimaryMember": "N",
        "optionalCovers": [
          { "optionalCoverName": "Travel Protect", "optionalCoverValue": "10000" },
          { "optionalCoverName": "Premium Waiver", "optionalCoverValue": "" },
          { "optionalCoverName": "EMI Protection", "optionalCoverValue": "30000" },
          { "optionalCoverName": "Super No Claim Bonus", "optionalCoverValue": "" },
          { "optionalCoverName": "OPD Expense", "optionalCoverValue": "" },
          { "optionalCoverName": "Non- Medical Expense", "optionalCoverValue": "" }
        ],
        "productComponents": [
          { "productComponentName": "SumInsured", "productComponentValue": "100000" }
        ],
        "Nominee_First_Name": "xcvxc",
        "Nominee_Relationship_Code": "R004",
        "Mobile_Number": "7xxxxxxxxxx",
        "Upfront_Good_Health_Discount_Applicable": "N"
      },
      {
        "MemberNo": "2",
        "Salutation": "ms",
        "First_Name": "cmcn",
        "Middle_Name": "",
        "Last_Name": "sdfsd",
        "Gender": "F",
        "DateOfBirth": "02/03/1977",
        "Relation_Code": "R002",
        "Marital_Status": "Married",
        "height": "152.00",
        "weight": "50.00",
        "optionalCovers": [
          { "optionalCoverName": "Travel Protect", "optionalCoverValue": "20000" },
          { "optionalCoverName": "Premium Waiver", "optionalCoverValue": "" },
          { "optionalCoverName": "EMI Protection", "optionalCoverValue": "60000" }
        ],
        "productComponents": [
          { "productComponentName": "SumInsured", "productComponentValue": "100000" }
        ],
        "Nominee_First_Name": "xcvxc",
        "Nominee_Relationship_Code": "R004",
        "Mobile_Number": "7xxxxxxxxx"
      }
    ]
  },
  "ReceiptCreation": {
    "officeLocation": "Mumbai",
    "modeOfEntry": "DIRECT",
    "payerType": "Proposer",
    "collectionAmount": "19532",
    "collectionRcvdDate": "02/09/2022",
    "collectionMode": "Online Collections",
    "PaymentGatewayName": "Razorpay",
    "TerminalID": "ExO4eKBgjHgbNd",
    "instrumentNumber": "pay_KCyQjKYqFVDmeT",
    "instrumentDate": "02/09/2022"
  }
}

Response Payload

Parent Node	Field Name	Data Type	Description
PolCreationRespons	quoteNumber	String	Unique identifier for the quote
	customerId	String	Customer's unique ID
	Source_Name	String	Source system or channel name
	productName	String	Name of the insurance product
	productCode	String	Code representing the product
	lineOfBusiness	String	Type of insurance business
	quoteStatus	String	Status of the quote
	quoteValidFromDate	String (Date)	Start date of quote validity
	quoteValidToDate	String (Date)	End date of quote validity
	policyNumber	String	Policy number
	proposalNumber	String	Proposal number
	policyStatus	String	Status of the policy
	tenure	String	Duration of the policy in years
	stpflag	String	Straight-through processing flag
	MedicalTestInfo	String	Medical test information
	premiumDetails	Array	Contains premium-related details
Premium	BasePremium	String	Original premium before discounts/loadings
	NetPremium	String	Premium after discounts
	ServiceTax	String	Service tax amount
	SBC	String	Swachh Bharat Cess
	KKC	String	Krishi Kalyan Cess
	BMI_loading	String	Loading based on BMI
	GrossPremium	String	Total premium before final adjustments
	FinalPremium	String	Final payable premium
ErrorObject	errorCode	String	Error code
ErrorObject	errormessage	String	Error message
ReceiptCreationResponse	errorMessage	String	Message indicating success or failure
	errorNumber	String	Error number
	ReceiptNumber	String	Receipt number generated
	ReceiptAmount	String	Amount received
	ExcessAmount	String	Excess amount if any

Sample Response Payload


<ns0:ActiveHealthRes xmlns:ns0="http://">
  <PolCreationRespons>
    <quoteNumber>22000034xxxx</quoteNumber>
    <customerId>PT8720xxxx</customerId>
    <Source_Name>HDFC_NETB</Source_Name>
    <productName>Activ Fit</productName>
    <Plan></Plan>
    <productCode>7100</productCode>
    <lineOfBusiness>HEALTH</lineOfBusiness>
    <quoteStatus>IF</quoteStatus>
    <quoteValidFromDate>02/09/2022</quoteValidFromDate>
    <quoteValidToDate>01/09/2025</quoteValidToDate>
    <policyNumber>71-22-000xxxx-00</policyNumber>
    <proposalNumber>22000034xxxx</proposalNumber>
    <policyStatus>IF</policyStatus>
    <tenure>3</tenure>
    <stpflag>STP</stpflag>
    <premiumDetails>
      <Premium>
        <BasePremium>18392</BasePremium>
        <NetPremium>16553</NetPremium>
        <ServiceTax>2979</ServiceTax>
        <SBC>0</SBC>
        <KKC>0</KKC>
        <BMI_loading>0.0</BMI_loading>
        <GrossPremium>19532</GrossPremium>
        <FinalPremium>19532</FinalPremium>
        <Discount_Amount></Discount_Amount>
      </Premium>
    </premiumDetails>
    <MedicalTestInfo></MedicalTestInfo>
    <errorList>
      <ErrorObject>
        <errorCode>0</errorCode>
        <errormessage></errormessage>
      </ErrorObject>
    </errorList>
  </PolCreationRespons>
  <ReceiptCreationResponse>
    <errorMessage>Sucess</errorMessage>
    <errorNumber>0</errorNumber>
    <ReceiptNumber>RR-21-22-16xxxx</ReceiptNumber>
    <ReceiptAmount>19532.0</ReceiptAmount>
    <ExcessAmount></ExcessAmount>
  </ReceiptCreationResponse>
</ns0:ActiveHealthRes>

Super Heath Top Up

Tired of medical expenses draining your savings? Say goodbye to financial stress during health emergencies with Super Health Plus Top Up - your ultimate shield against rising healthcare costs. This innovative health insurance solution offers comprehensive coverage that kicks in when your basic insurance limits are exceeded. With upto INR 95 lacs* coverage, you can access top-notch medical care at the most affordable premium, without compromising on your health or your finances.

Request Payload

Parent Node	Field Name	Data Type	Data Length	Mandatory/Non-mandatory	Business Logic & Validations
Client Creation		Object
	salutation	string	5	Yes	Reference Master Value e.g. Dr, M/S , Miss, Mr, Mrs , Ms, Others
	firstName	string	250	Yes	First name of proposer
	middleName	string	250	No	Middle name of proposer
	lastName	string	250	Yes	Last name of proposer
	dateofBirth	string	-	Yes	DOB of proposer. Only MM/DD/YYYY Format will be Accepted
	gender	string	3	Yes	Reference Master Value (M, F, T)
	educationalQualification	string	20	No	Reference Master Value (Below Metric, Graduate, etc.)
	pinCode	string	25	Yes	Pincode of Proposer
	uidNo	string	30	No	UID number
	maritalStatus	string	10	Yes	Reference Master Value
	nationality	string	200	Yes	Reference Master Value (Indian, NRI, etc.)
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number

Sample Request Payload


{
    "MemObj": {
        "Member": [
            {
                "PreviousCurrentInsuranceDetails": {
                    "IsPreviousCurrentpolicy": null,
                    "ConsiderAnyInternational": null,
                    "Insurername": null,
                    "IsAnyClaim": null
                },
                "MemberproductComponents": [
                    {
                        "MemberQuestionDetails": null,
                        "Deductible": "",
                        "CoversDetails": [
                            {
                                "CoverPartCode": "",
                                "CoverSI": "",
                                "PlanCode": "4225100001",
                                "CoverCode": ""
                            }
                        ],
                        "SumInsured": "1000000",
                        "PlanCode": "4225100001",
                        "ChronicDetails": ""
                    }
                ],
                "MemberPEDs": [
                    {
                        "PEDCode": "",
                        "Remarks": "",
                        "Value": ""
                    }
                ],
                "Middle_Name": "dummy",
                "Marital_Status": "Married",
                "IdProofNumber": "XXXXXXXX8810",
                "emailId": "dummy@gmail.com",
                "Gender": "M",
                "Nominee_First_Name": "dummy",
                "Nominee_Last_Name": "dummy",
                "Nominee_Relationship_Code": "R002",
                "Nominee_Contact_Number": "9xxxxxxxx",
                "Nominee_Home_Address": "xxxxxxxxxx 421201",
                "First_Name": "dummy",
                "Last_Name": "dummy",
                "Nationality": "Indian",
                "DateOfBirth": "28/04/1969",
                "height": 175,
                "weight": "75",
                "AnnualIncome": "500000"
            },
            {
                "PreviousCurrentInsuranceDetails": {
                    "IsPreviousCurrentpolicy": null,
                    "ConsiderAnyInternational": null,
                    "Insurername": null,
                    "IsAnyClaim": null
                },
                "MemberproductComponents": [
                    {
                        "MemberQuestionDetails": null,
                        "Deductible": "",
                        "CoversDetails": [
                            {
                                "CoverPartCode": "",
                                "CoverSI": "",
                                "PlanCode": "4225100001",
                                "CoverCode": ""
                            }
                        ],
                        "SumInsured": "1000000",
                        "PlanCode": "4225100001",
                        "ChronicDetails": ""
                    }
                ],
                "Middle_Name": "dummy",
                "Gender": "F",
                "emailId": "dummy@gmail.com",
                "Nominee_First_Name": "dummy",
                "Nominee_Last_Name": "dummy",
                "Nominee_Relationship_Code": "R002",
                "Nominee_Contact_Number": "9xxxxxxxx",
                "First_Name": "Aarti",
                "Last_Name": "Shaha",
                "Nationality": "Indian",
                "DateOfBirth": "28/04/1969",
                "height": 155,
                "weight": "65",
                "AnnualIncome": "500000"
            }
        ]
    },
    "PreviousPolicyObj": {
        "PreviousPolicyDetails": [{}]
    },
    "ReceiptObj": {
        "ReceiptCreation": []
    },
    "PolicyCreationRequest": {
        "BusinessType": "New Business",
        "Is_Combi": "No",
        "intermediaryCode": "2118000",
        "intermediaryBranchCode": "10MHMUM02",
        "AccountNumber": "41064047280",
        "AccountType": "02",
        "BankBranch": "DOMBIVLI EAST BRANCH",
        "IFSCCode": "SBINxxxxxxx",
        "leadID": "UPL03102512367xxxxx",
        "Source_Name": "ABHIOne",
        "businessSourceChannel": "ABHIOne",
        "PolicyproductComponents": [
            {
                "SumInsured_Type": "Family Floater",
                "ProductCode": "4225",
                "PlanCode": "4225100001",
                "Member_Type_Code": "M717",
                "Policy_Tanure": "1"
            }
        ]
    },
    "ClientCreation": {
        "firstName": "xxxxx",
        "lastName": "dummy",
        "middleName": "dummy",
        "dateofBirth": "28/04/1969",
        "gender": "M",
        "maritalStatus": "Married",
        "occupation": "O005",
        "contactMobileNo": "9xxxxxxxxx",
        "primaryEmailID": "dummy@gmail.com",
        "homeAddressLine1": "101 xxxxx Apartment",
        "homeAddressLine2": "xxxxxx Road",
        "homeAddressLine3": "xxxxxxxxx Thane, Maharashtra 421201",
        "mailingAddressLine1": "101xxxxxx Apartment",
        "mailingAddressLine2": "xxxxxxx Road",
        "mailingAddressLine3": "xxxxxxxxxxx 421201",
        "mailingPinCode": "421201",
        "bankAccountNo": "410xxxxxxxxx",
        "ifscCode": "SBIN000xxxx",
        "bankAccountType": "Saving",
        "BankBranch": "DOMBIVLI EAST BRANCH",
        "annualIncome": "500000",
        "nationality": "Indian",
        "panNo": "Cxxxxxxx"
    }
}

Response Payload

Parent Node	Field Name	Data Type	Description
PolCreationRespons	quoteNumber	String	Unique identifier for the quote
	customerId	String	Customer's unique ID
	Source_Name	String	Source system or channel name
	productName	String	Name of the insurance product
	productCode	String	Code representing the product
	lineOfBusiness	String	Type of insurance business
	quoteStatus	String	Status of the quote
	quoteValidFromDate	String (Date)	Start date of quote validity
	quoteValidToDate	String (Date)	End date of quote validity
	policyNumber	String	Policy number
	proposalNumber	String	Proposal number
	policyStatus	String	Status of the policy
	tenure	String	Duration of the policy in years
	stpflag	String	Straight-through processing flag
	MedicalTestInfo	String	Medical test information
	premiumDetails	Array	Contains premium-related details
Premium	BasePremium	String	Original premium before discounts/loadings
	NetPremium	String	Premium after discounts
	ServiceTax	String	Service tax amount
	SBC	String	Swachh Bharat Cess
	KKC	String	Krishi Kalyan Cess
	BMI_loading	String	Loading based on BMI
	GrossPremium	String	Total premium before final adjustments
	FinalPremium	String	Final payable premium
ErrorObject	errorCode	String	Error code
ErrorObject	errormessage	String	Error message
ReceiptCreationResponse	errorMessage	String	Message indicating success or failure
	errorNumber	String	Error number
	ReceiptNumber	String	Receipt number generated
	ReceiptAmount	String	Amount received
	ExcessAmount	String	Excess amount if any

Sample Response Payload


{
  "quoteNumber": "25000270xxxx",
  "quoteValidFromDate": "10/03/2025",
  "quoteValidToDate": "10/02/2026",
  "customerId": "",
  "Source_Name": "ABHIOne",
  "quoteStatus": "UW",
  "stpflag": "NSTP",
  "ReceiptCreationResponse": [
    {
      "errorMessage": "Success",
      "errorNumber": "0",
      "ReceiptNumber": "",
      "ReceiptAmount": "",
      "ExcessAmount": ""
    }
  ],
  "ProductPremiumDetails": [
    {
      "productCode": "4225",
      "PlanCode": "4225100001",
      "policyNumber": "",
      "proposalNumber": "",
      "tenure": "1",
      "BasePremium": "35402",
      "NetPremium": "35402",
      "Tax": "0",
      "TaxDetails": {
        "CGST": "",
        "SGST": "",
        "IGST": "",
        "UTGST": "",
        "OtherCess": ""
      },
      "Loading": "0",
      "Discount": "3540",
      "GrossPremium": "31862",
      "stpFlag": "NSTP",
      "Status": "UW",
      "Rider_Amount": ""
    }
  ],
  "FinalPremium": {
    "FinalBasePremium": "31862",
    "FinalNetPremium": "31862",
    "FinalTax": "0",
    "FinalTaxDetails": {
      "CGST": "",
      "SGST": "",
      "IGST": "",
      "UTGST": "",
      "OtherCess": ""
    },
    "Loading": "0",
    "Discount": "3540",
    "FinalGrossPremium": "31862"
  },
  "errorList": [
    {
      "ErrorObject": {
        "errorCode": "0",
        "errormessage": "Success"
      }
    }
  ]
}

Activ Assure

Activ Assure Diamond Health Insurance Plan is a cost-effective health insurance plan offering comprehensive cover for hospitalization, 586 day care procedures and convenient cashless claims at our 10051+ network hospitals.

Request Payload

Parent Node	Field Name	Data Type	Data Length	Mandatory/Non-mandatory	Business Logic & Validations
Client Creation		Object
	salutation	string	5	Yes	Reference Master Value e.g. Dr, M/S , Miss, Mr, Mrs , Ms, Others
	firstName	string	250	Yes	First name of proposer
	middleName	string	250	No	Middle name of proposer
	lastName	string	250	Yes	Last name of proposer
	dateofBirth	string	-	Yes	DOB of proposer. Only MM/DD/YYYY Format will be Accepted
	gender	string	3	Yes	Reference Master Value (M, F, T)
	educationalQualification	string	20	No	Reference Master Value (Below Metric, Graduate, etc.)
	pinCode	string	25	Yes	Pincode of Proposer
	uidNo	string	30	No	UID number
	maritalStatus	string	10	Yes	Reference Master Value
	nationality	string	200	Yes	Reference Master Value (Indian, NRI, etc.)
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number
	occupation	string	20	No	Reference Master Value
	primaryEmailID	string	50	Yes	Mail ID
	contactMobileNo	string	15	Yes	Contact Number
	stdLandlineNo	string	15	No	STD landline number
	panNo	string	15	Yes in case of id proof Pan card	Pan number. PAN is required if Premium is more than 1 Lakh, also incase id proof is pan card
	passportNumber	string	20	Yes in Case of id Proof Passport	Passport number
	contactPerson	string	100	No	Contact person name
	annualIncome	string	(18, 2)	No	If Sum insured is 5 lakh and above then its mandatory to provide anunual income of proposer.
	remarks	string	max	No	Remarks
	startDate	string		No	start date (only MM/DD/YYYY Format will be Accepted)
	endDate	string		No	end date (only MM/DD/YYYY Format will be Accepted)
	IdProof	string	100	No	Reference Master Value (e.g."Aadhaar Card", "Pan Card" ..)
	residenceProof	string	100	No	Reference Master Value for Residence proof type
	ageProof	string	100	No	Value of "IdProof" master value
	others	string	100	No	Other details
	homeAddressLine1	string	300	Yes	Part of Correspondence Address
	homeAddressLine2	string	300	No	Part of Correspondence Address
	homeAddressLine3	string	300	No	Part of Correspondence Address
	homePinCode	string	6	Yes	Pincode entered during client creation
	homeArea	string	10		Home area
	homeContactMobileNo	string	10	Yes	Home contact number
	homeContactMobileNo2	string	10	No	Home alternate contact number
	homeSTDLandlineNo	string	20	No	Home Landline number
	homeSTDLandlineNo2	string	20	No	Home alternate landline number
	homeFaxNo	string	20	No	Home fax number
	sameAsHomeAddress	string	1	Yes	Reference master value 1 - mailing details same as home details, 0 - to be filled manually
	mailingAddressLine1	string	300		Mailing address line 1
	mailingAddressLine2	string	300		Mailing address line 2
	mailingAddressLine3	string	300		Mailing address line 3
	mailingPinCode	string	6		Auto derived code in all the places.
	mailingArea	string	100		Mailing Area
	mailingContactMobileNo	string	10		Mailing contact number
	mailingContactMobileNo2	string	10		Mailing alternate contact number
	mailingSTDLandlineNo	string	20		Mailing landline number
	mailingSTDLandlineNo2	string	20		Mailing alternate landlind number
	mailingFaxNo	string	20		Mailing fax number
	bankAccountType	string	20	Yes	Type of Bank Account. Reference master value
	bankName	string	50	Yes	Bank Name
	bankAccountNo	string	20	Yes	Bank account number
	ifscCode	string	20	Yes	IFSC. Free Text
	GSTIN	string			Mandatory If GSTRegistrationStatus is "Compounding Dealer" or "Registered"
	GSTRegistrationStatus	string	20		EnumMaster value - "Consumer" Register" "Compounding dealers"
	UIDAcknowledgementNo	string	50	No	UID Acknowledgent number
	IsEIAavailable	string	3	No	"Electronic insurance account" , Not in use in SP. Yes/No (Yes stands for EIA Account Available and 'No' Stands for EIA Account not available)
	ApplyEIA	string	3	No	Indicator for Applying electronic account
	EIAAccountNo	string	20	Yes, if isEIAavailabe=Yes	EIA number
	EIAWith	string	50	Yes, if isEIAavailabe=Yes	EI account with
	AccountType	string	20		Reference master value for account type like, 01 - current acc, 02 - saving acc
	AddressProof	string	100	No	Reference master value. Proof of address
	DOBProof	string	100	No	Reference master value. Proof of DOB
	IdentityProof	string	100	No	Reference master value. ID Proof
	DCNnumber	string	100		Document number

Sample Request Payload


{
  "ClientCreation": {
    "salutation": "Mr",
    "firstName": "dummy",
    "middleName": "dummy",
    "lastName": "dummy",
    "dateofBirth": "15/06/1993",
    "gender": "M",
    "educationalQualification": "",
    "pinCode": "263002",
    "uidNo": "",
    "maritalStatus": "Single",
    "nationality": "Indian",
    "occupation": "dummy",
    "primaryEmailID": "email@email.com",
    "contactMobileNo": "0000000000",
    "stdLandlineNo": "0000000000",
    "panNo": "AXXXXXXXX",
    "passportNumber": "",
    "contactPerson": "",
    "annualIncome": 500000,
    "remarks": "dummy",
    "startDate": "17/06/2020",
    "endDate": "17/06/2020",
    "IdProof": "",
    "residenceProof": "",
    "ageProof": "",
    "others": "",
    "homeAddressLine1": "line1",
    "homeAddressLine2": "line2",
    "homeAddressLine3": "line3",
    "homePinCode": "263002",
    "homeArea": "area",
    "homeContactMobileNo": "0000000000",
    "homeContactMobileNo2": "0000000000",
    "homeSTDLandlineNo": "",
    "homeSTDLandlineNo2": "",
    "homeFaxNo": "",
    "sameAsHomeAddress": 1,
    "mailingAddressLine1": "line1",
    "mailingAddressLine2": "line2",
    "mailingAddressLine3": "line3",
    "mailingPinCode": "263002",
    "mailingArea": "area",
    "mailingContactMobileNo": "",
    "mailingContactMobileNo2": "",
    "mailingSTDLandlineNo": "",
    "mailingSTDLandlineNo2": "",
    "mailingFaxNo": "",
    "bankAccountType": "",
    "bankAccountNo": "",
    "ifscCode": "",
    "GSTIN": "",
    "GSTRegistrationStatus": "Consumers",
    "IsEIAavailable": "0",
    "ApplyEIA": "0",
    "EIAAccountNo": "",
    "EIAWith": "",
    "AccountType": "",
    "AddressProof": "",
    "DOBProof": "",
    "IdentityProof": "",
    "UIDAcknowledgementNo": ""
  },
  "PolicyCreationRequest": {
    "Quotation_Number": "",
    "Product_Code": 4226,
    "Plan_Code": "4226100001",
    "SumInsured_Type": "Individual",
    "Policy_Tanure": "1",
    "Member_Type_Code": "M391",
    "AutoRenewal": "N",
    "intermediaryBranchCode": "10MHMUM02",
    "agentSignatureDate": "17/06/2020",
    "Customer_Signature_Date": "17/06/2020",
    "businessSourceChannel": "",
    "Source_Name": "Invictus",
    "SPID": "",
    "RefCode1": "",
    "RefCode2": "",
    "TCN": "",
    "EmployeeNumber": "null",
    "EmployeeDiscount": "",
    "QuoteDate": "17/06/2020",
    "CRTNO": "",
    "IsPayment": 0,
    "goGreen": 0,
    "familyDoctor": {
      "fullName": "",
      "qualification": "",
      "emailId": "",
      "RegistrationNumber": "",
      "addressLine1": "",
      "addressLine2": "",
      "pinCode": "",
      "contact_number": ""
    },
    "leadID": "INVI12042018000xxx",
    "intermediaryCode": "2103129"
  },
  "MemObj": {
    "Member": [
      {
        "MemberNo": 1,
        "Salutation": "Mr",
        "First_Name": "dummy",
        "Middle_Name": "dummy",
        "Last_Name": "dummy",
        "Gender": "M",
        "DateOfBirth": "15/06/1993",
        "Relation_Code": "R001",
        "Marital_Status": "Single",
        "height": 167,
        "weight": 72.8,
        "occupation": "",
        "PrimaryMember": "Y",
        "optionalCovers": [
          {
            "optionalCoverName": "Maternity Expenses",
            "optionalCoverValue": 0
          },
          {
            "optionalCoverName": "OPD Expenses",
            "optionalCoverValue": 0
          }
        ],
        "productComponents": [
          {
            "productComponentName": "Conditions",
            "productComponentValue": "Non-Chronic"
          },
          {
            "productComponentName": "SumInsured",
            "productComponentValue": "500000"
          },
          {
            "productComponentName": "Zone",
            "productComponentValue": "Z000"
          },
          {
            "productComponentName": "RoomCategory",
            "productComponentValue": "Single Private Room"
          }
        ],
        "MemberPED": [
          {
            "PEDCode": "",
            "Remarks": ""
          }
        ],
        "exactDiagnosis": "",
        "dateOfDiagnosis": "17/06/2020",
        "lastDateConsultation": "17/06/2020",
        "detailsOfTreatmentGiven": "",
        "doctorName": "",
        "hospitalName": "",
        "phoneNumberHosital": "",
        "labReport": "",
        "dischargeCardSummary": "",
        "personalHabitDetail": [
          {
            "numberOfYears": "",
            "count": "",
            "type": ""
          }
        ],
        "Nominee_First_Name": "",
        "Nominee_Last_Name": "Test",
        "Nominee_Contact_Number": "",
        "Nominee_Home_Address": "",
        "Nominee_Relationship_Code": ""
      }
    ]
  },
  "ReceiptCreation": {
    "officeLocation": "",
    "modeOfEntry": "",
    "cdAcNo": "",
    "expiryDate": "17/06/2020",
    "payerType": "Customer",
    "payerCode": "",
    "paymentBy": "",
    "paymentByName": "",
    "paymentByRelationship": "",
    "collectionAmount": "",
    "collectionRcvdDate": "17/06/2020",
    "collectionMode": "",
    "remarks": "",
    "instrumentNumber": "",
    "instrumentDate": "17/06/2020",
    "bankName": "",
    "branchName": "",
    "bankLocation": "",
    "micrNo": "",
    "chequeType": "",
    "ifscCode": "",
    "PaymentGatewayName": "ABHI TUTRLEMINT",
    "TerminalID": "76025071"
  }
}

Response Payload

Parent Node	Field Name	Data Type	Description
PolCreationRespons	quoteNumber	String	Unique identifier for the quote
	customerId	String	Customer's unique ID
	Source_Name	String	Source system or channel name
	productName	String	Name of the insurance product
	productCode	String	Code representing the product
	lineOfBusiness	String	Type of insurance business
	quoteStatus	String	Status of the quote
	quoteValidFromDate	String (Date)	Start date of quote validity
	quoteValidToDate	String (Date)	End date of quote validity
	policyNumber	String	Policy number
	proposalNumber	String	Proposal number
	policyStatus	String	Status of the policy
	tenure	String	Duration of the policy in years
	stpflag	String	Straight-through processing flag
	MedicalTestInfo	String	Medical test information
	premiumDetails	Array	Contains premium-related details
Premium	BasePremium	String	Original premium before discounts/loadings
	NetPremium	String	Premium after discounts
	ServiceTax	String	Service tax amount
	SBC	String	Swachh Bharat Cess
	KKC	String	Krishi Kalyan Cess
	BMI_loading	String	Loading based on BMI
	GrossPremium	String	Total premium before final adjustments
	FinalPremium	String	Final payable premium
ErrorObject	errorCode	String	Error code
ErrorObject	errormessage	String	Error message
ReceiptCreationResponse	errorMessage	String	Message indicating success or failure
	errorNumber	String	Error number
	ReceiptNumber	String	Receipt number generated
	ReceiptAmount	String	Amount received
	ExcessAmount	String	Excess amount if any

Sample Response Payload


{
  "PolCreationRespons": {
    "quoteNumber": "2020061742197084xxxx",
    "customerId": "",
    "Source_Name": "INVICTUS",
    "productName": "",
    "productCode": "4219",
    "lineOfBusiness": "",
    "quoteStatus": "",
    "quoteValidFromDate": "06/17/2020",
    "quoteValidToDate": "06/24/2020",
    "policyNumber": "",
    "proposalNumber": "",
    "policyStatus": "IF",
    "tenure": "1",
    "stpflag": "STP",
    "premiumDetails": [
      {
        "Premium": [
          {
            "BasePremium": "5395.00",
            "NetPremium": "5395.00",
            "ServiceTax": "971.10",
            "SBC": "0",
            "KKC": "0",
            "BMI_loading": "0.00",
            "GrossPremium": "6366.00",
            "FinalPremium": "6366.00"
          }
        ]
      }
    ],
    "MedicalTestInfo": "",
    "errorList": [
      {
        "ErrorObject": {
          "errorCode": "0",
          "errormessage": ""
        }
      }
    ]
  },
  "ReceiptCreationResponse": {
    "errorMessage": "Sucess ",
    "errorNumber": "0 ",
    "ReceiptNumber": "",
    "ReceiptAmount": "",
    "ExcessAmount": ""
  }
}

claimSearchInfo

This API retrieves detailed claim information using a specific claim number. It returns key data such as member details, policy number, claim type and status, hospitalization cover type, bank details, and financial breakdowns like approved amount, deductions, and insurer payout. It is primarily used to track the progress and status of a claim within the insurance system.

Request Payload

Field Name	Data Type	Mandatory/Non-mandatory	Description
claimNumber	string	Yes	Enter claim number

Sample Request Payload


{
  "claimNumber": "1122585004xxxx/03"
}

Response Payload

Field Name	Data Type	Description
ClaimNumber	String	Unique identifier for the claim
Member_ID	String	ID of the insured member
Member_Name	String	Name of the insured member
Policy_No	String	Policy number under which the claim is filed
Claim_SubStatus	String	Current sub-status of the claim
Claim_Type	String	Type of claim
Cover_Type	String	Type of insurance cover
Opted_Room	String/null	Room type opted during hospitalization
Claim_Amount	String	Total claimed amount
Deducted_Amount	String	Amount deducted from the claim
Provider_Discount	String	Discount provided by the healthcare provider
Reason	String	Reason code or description
Status	String	Claim status
Compulsory_Deduction	String/null	Mandatory deduction amount
Co_payment	String	Co-payment amount
Copay_reason	String/null	Reason for co-payment
SumInsured_Exhausted_Amount	String/null	Amount exhausted from sum insured
Approved_Amount_INR	String	Approved amount in INR
Intial_Approval	String	Initial approval status
Interim_Approval_Amount	String/null	Interim approved amount
Final_Approved_Amount	String	Final approved amount
Approval_Remark	String	Remarks related to approval
Deficiency_Raise_To	String/null	Entity to whom deficiency was raised
Raise_Date	String/null	Date when deficiency was raised
Document_Received_Date	String/null	Date when documents were received
Close_Date	String/null	Claim closure date
Claim_Status	String	Final status of the claim
Deduction_Reason	String	Reason for deductions
Discount_Reason	String	Reason for discount
Discount_Amount	String	Amount discounted
AmountToBePaidByInsured	String	Final amount payable by the insured
CKYC_Flag	String	CKYC verification flag
CKYC_Number	String	CKYC reference number
BankName	String	Name of the insured’s bank
AccountNumber	String	Bank account number
BankBranch	String	Branch of the bank
IFSCCode	String	IFSC code of the bank branch
document	Array	List of associated documents

Sample Response Payload


{
  "Response": [
    {
      "ClaimNumber": "112258500xxxx/03",
      "Member_ID": "PT1447xxxx",
      "Member_Name": "dummy dummy",
      "Policy_No": "21-24-002xxxx-00",
      "Claim_SubStatus": "RI Registration Raised",
      "Claim_Type": "Reimbursement",
      "Cover_Type": "In-patient Hospitalization cover",
      "Opted_Room": null,
      "Claim_Amount": "",
      "Deducted_Amount": "",
      "Provider_Discount": "",
      "Reason": "A",
      "Status": "RI Registration Raised",
      "Compulsory_Deduction": null,
      "Co_payment": "",
      "Copay_reason": null,
      "SumInsured_Exhausted_Amount": null,
      "Approved_Amount_INR": "",
      "Checklist_of_Denial_Clauses": null,
      "Intial_Approval": null,
      "Interim_Approval_Amount": "",
      "Final_Approved_Amount": "",
      "Approval_Remark": null,
      "Deficiency_Raise_To": null,
      "Raise_Date": null,
      "Document_Received_Date": null,
      "Close_Date": null,
      "Claim_Status": "RI Registration Raised",
      "First_Reminder_Date": null,
      "Second_Reminder_Date": null,
      "Third_Reminder_Date": null,
      "Final_Closure_Date": null,
      "Discrepancy_Remark": null,
      "isChildClaim": null,
      "Deduction_Reason": null,
      "Discount_Reason": null,
      "Discount_Amount": "",
      "UTR_Number": null,
      "Denial_Reason": null,
      "ErrorMessage": null,
      "AmountToBePaidByInsured": "0.00",
      "CKYC_Flag": "",
      "CKYC_Number": "",
      "BankName": "KOTAK MAHINDRA BANK LIMITED",
      "AccountNumber": "3216xxxxx",
      "BankBranch": "WORLI",
      "IFSCCode": "KKBK0000xxxx",
      "document": []
    }
  ]
}

PreAuthRegistration

This API is used to initiate and register a pre-authorization request for health insurance claims. It captures essential details such as policy number, family ID, claim intimation source and type, hospitalization cover, patient information, diagnosis (ICDCode), and procedure codes (PCSCode). Upon successful submission, the API returns a confirmation message along with a unique claim number, enabling insurers to begin claim evaluation and processing.

Request Payload

Field Name	Data Type	Mandatory/Non-mandatory	Description
PreAuthObj	List	Y
Policy_Number	String	Y	Policy Number, text
FamilyId	String	Y	Unique Member code/Party code
Claim_Intimation_Through	String	Y	Source (e.g., CRM)
Claim_Intimation_Source	String	Y	Source (e.g., CRM)
Intimation_Type	String	Y	Claim type: Cashless or Reimbursement
Cover_code	String	Y	Admission type code (DayCare/Inpatient)
Cover_Name	String	Y	Admission type description
Hospital_Name	String	Y	Hospital name
Hospital_Code	String	Y	Hospital code
Diagnosis	String	Y	Diagnosis description
Date_of_Admission	String	Y	Actual date of admission
Time_of_Admission	String	Y	Actual time of admission
Date_of_Discharge	String	Y	Actual date of discharge
Time_of_Discharge	String	Y	Actual time of discharge
Claim_Amount	String	Y	Claim amount
Source_System_Code	String	Y	Source system identifier
Document_Received_Date	String	Y	Date when documents were received
Document_Received_Time	String	Y	Time when documents were received
Patient_Name	String	Y	Patient name
Co_morbidities	String	N	Co-morbid conditions
Service_flag	String	N	Service flag
Name_Of_Treating_Doctor	String	N	Name of treating doctor
Doctor_Contact_No	String	N	Doctor's contact number
Duration_Of_Present_Ailment	String	N	Duration of current ailment
Proposed_line_of_treatment	String	N	Proposed treatment plan
Investigation_MedicalManagementDetails	String	N	Investigation and medical management details
Name_Of_Surgery	String	N	Name of surgery
IRDA_Code_Of_surgery	String	N	IRDA code for surgery
How_did_injury_occur	String	N	Details of injury occurrence
Case_Of_accident	String	N	Accident case indicator
IsItRTA	String	N	Road traffic accident indicator
Date_Of_Inhury	String	N	Date of injury
ReportedtoPolice	String	N	Police report status
FirNo	String	N	FIR number
Injury_Disease_Alcohalconsumption	String	N	Alcohol-related injury/disease
IsMaternity	String	N	Maternity case indicator
G	String	N	Gravida count
P	String	N	Parity count
L	String	N	Live births count
A	String	N	Abortions count
Date_Of_Delivery	String	N	Date of delivery
Emergency_Planned_Event	String	N	Emergency or planned event
Room_Type	String	N	Type of hospital room
DeaseasWithPresentingComplaints	String	N	Disease with presenting complaints
ReleventClinicalFinding	String	N	Relevant clinical findings
DateOfFirstConsultation	String	N	Date of first consultation
ProvisionalDiagnosis	String	N	Provisional diagnosis
Doctor_Registration_No	String	N	Doctor registration number
IsPreexisting	String	N	Pre-existing condition indicator
IsNaturalCalamityCase	String	N	Natural calamity case indicator
Test_ConductedToEstablishThis	String	N	Tests conducted to establish condition
AlcohalordrugAbuse	String	N	Alcohol or drug abuse indicator
AnyHivorStdRelatedAilments	String	N	HIV/STD-related ailments
AnyOtherAilments	String	N	Other ailments
Other_Ind	String	N	Other indicators
Hospital_Nm	String	N	Hospital name
Hospital_Address	String	N	Hospital address
Hospital_Country	String	N	Hospital country
Hospital_State	String	N	Hospital state
Hospital_District	String	N	Hospital district
Hospital_City	String	N	Hospital city
Hospital_PinCode	String	N	Hospital postal code
Hospital_Mail	String	N	Hospital email
Hospital_StdCode	String	N	Hospital STD code
Hospital_PhoneNo	String	N	Hospital phone number
Hospital_MobileNo	String	N	Hospital mobile number
Hospital_FaxNo	String	N	Hospital fax number
Hospital_WebSite	String	N	Hospital website
Hospital_LandMark	String	N	Hospital landmark
PreexistingObj	List	N	Pre-existing conditions object
Preexisting_Deases	String	N	Pre-existing diseases
Status	String	N	Status of pre-existing condition
Sincewhen	String	N	Duration of condition
Remarks	String	N	Additional remarks
PCSObj	List	N	Procedure codes object
PCS_Code	String	N	Procedure code
ICD_Code	String	N	Diagnosis code
DocObj	List	N	Document object
UploadStatus	String	N	Upload status
Filename	String	N	Document filename

Sample Request Payload


{
  "PreAuthObj": [
    {
      "Policy_Number": "GHI-81-25-0607xxxx-000",
      "FamilyId": "PT352xxxxx",
      "Claim_Intimation_Through": "Online",
      "Claim_Intimation_Source": "EEP",
      "Intimation_Type": "Reimbursement",
      "Cover_code": "42214101",
      "Cover_Name": "In-patient Hospitalization",
      "Hospital_Name": "",
      "Hospital_Code": "HS00001632",
      "Diagnosis": "illness",
      "Date_of_Admission": "08/04/2025",
      "Date_of_Discharge": "08/07/2025",
      "Time_of_Admission": "13:37",
      "Time_of_Discharge": "00:00",
      "Claim_Amount": "78483",
      "Source_System_Code": "EEP",
      "Document_Received_Date": "10/03/2025",
      "Document_Received_Time": "12:26",
      "Patient_Name": "dummy dummy",
      "coMorbidities": "",
      "Service_flag": "",
      "Name_Of_Treating_Doctor": "",
      "Doctor_Contact_No": "",
      "Duration_Of_Present_Ailment": "",
      "Proposed_line_of_treatment": "",
      "Investigation_MedicalManagementDetails": "",
      "Name_Of_Surgery": "",
      "IRDA_Code_Of_surgery": "",
      "How_did_injury_occur": "",
      "Case_Of_accident": "",
      "IsItRTA": "",
      "Date_Of_Inhury": "",
      "ReportedtoPolice": "",
      "FirNo": "",
      "Injury_Disease_Alcohalconsumption": "",
      "IsMaternity": "",
      "G": "",
      "P": "",
      "L": "",
      "A": "",
      "Date_Of_Delivery": "",
      "Emergency_Planned_Event": "",
      "Room_Type": "",
      "DeaseasWithPresentingComplaints": "",
      "ReleventClinicalFinding": "",
      "DateOfFirstConsultation": "",
      "ProvisionalDiagnosis": "",
      "Doctor_Registration_No": "",
      "IsPreexisting": "",
      "IsNaturalCalamityCase": "",
      "Test_ConductedToEstablishThis": "",
      "AlcohalordrugAbuse": "",
      "AnyHivorStdRelatedAilments": "",
      "AnyOtherAilments": "",
      "Other_Ind": "No",
      "Hospital_Nm": "",
      "Hospital_Address": "",
      "Hospital_Country": "",
      "Hospital_State": "",
      "Hospital_District": "",
      "Hospital_City": "",
      "Hospital_PinCode": "",
      "Hospital_Mail": "",
      "Hospital_StdCode": "",
      "Hospital_PhoneNo": "",
      "Hospital_MobileNo": "",
      "Hospital_FaxNo": "",
      "Hospital_WebSite": "",
      "Hospital_LandMark": ""
    }
  ],
  "PreexistingObj": [
    {
      "Preexisting_Deases": "",
      "Status": "",
      "Sincewhen": "",
      "Remarks": ""
    }
  ],
  "PCSObj": [
    {
      "PCS_Code": ""
    }
  ],
  "ICDObj": [
    {
      "ICD_Code": ""
    }
  ],
  "DocObj": [
    {
      "UploadStatus": "",
      "Filename": ""
    }
  ]
}

Response Payload

Field Name	Data Type	Mandatory/Non-mandatory	Description
Code	String	Y	Response status code
Message	String	Y	Response message
Claim_Number	String	Y	Generated claim number
Pre_Auth_Id	String	Y	Pre-authorization ID

Sample Response Payload


{
  "Code": "200",
  "Message": "Saved SuccessFully",
  "Claim_Number": "122258533xxxx",
  "Pre_Auth_Id": ""
}

PortalClaimDigitization

This API allows updating claim details such as policy number, claim amount, and process type in the ABHI Claims Portal. It supports secure data exchange for workflows like query replies and document uploads. A successful response confirms the claim update with status and error codes.

Request Payload

Field Name	Data Type	Mandatory/Non-Mandatory	Description
Policy_Number	string	Mandatory	Insurance policy identifier
Claim_No	string	Mandatory	Unique claim number
MemberId	string	Mandatory	Member identification number
Claim_Intimation_Through	string	Mandatory	Mode of claim intimation (e.g., Online)
Claim_Intimation_Source	string	Mandatory	Source system or channel of claim
Claim_Type	string	Mandatory	Type of claim (e.g., Reimbursement)
Process_Type	string	Non-Mandatory	Type of processing (if applicable)
Claim_flag	string	Non-Mandatory	Internal flag for claim status
Hospital_Name	string	Mandatory	Name of the hospital where treatment occurred
NOL	string	Non-Mandatory	Possibly No Objection Letter or similar
Remark	string	Mandatory	Additional remarks or comments
Date_of_Admission	string	Mandatory	Admission date of the patient
Time_of_Admission	string	Mandatory	Time of admission
Date_of_Discharge	string	Mandatory	Discharge date of the patient
Time_of_Discharge	string	Mandatory	Time of discharge
Claim_Amount	string	Mandatory	Total claim amount
Source_System_Code	string	Mandatory	Code representing the source system
DocumentuploadFlag	string	Mandatory	Indicates if documents were uploaded
Document_Received_Date	string	Mandatory	Date when documents were received
Document_Received_Time	string	Mandatory	Time when documents were received
Patient_Name	string	Mandatory	Full name of the patient

Sample Request Payload


{
  "UpdateClaimObj": [
    {
      "Policy_Number": "31-25-000XXXX-00",
      "Claim_No": "1122585XXXXXX",
      "MemberId": "",
      "Claim_Intimation_Through": "Customer Portal/App",
      "Claim_Intimation_Source": "Customer portal/App",
      "Claim_Type": "Reimbursement",
      "Process_Type": "",
      "Claim_flag": "",
      "Hospital_Name": "XXXXXX REASEARCH INSTITUTE & SUPER SPECIALITY HOSPITAL PVT LTD",
      "NOL": "",
      "Remark": "Response from customer portal",
      "Date_of_Admission": "08/04/2025",
      "Time_of_Admission": "00:00:00",
      "Date_of_Discharge": "10/08/2025",
      "Time_of_Discharge": "00:00:00",
      "Claim_Amount": "81451",
      "Source_System_Code": "Customer portal",
      "DocumentuploadFlag": "Yes",
      "Document_Received_Date": "10-24-2025",
      "Document_Received_Time": "12:01",
      "Patient_Name": "dummy dummy dummy"
    }
  ]
}

Response Payload

Field Name	Data Type	Description
Claim_Number	string	Unique identifier for the insurance claim
IsSucess	string	Indicates whether the claim submission was successful
Error_Msg	string	Message returned from the system (e.g., Success or error details)
Error_Code	string	Code representing the result of the operation (e.g., 0 for success)

Sample Response Payload


{
  "Claim_Number": "1122585xxxxx",
  "IsSucess": "True",
  "Error_Msg": "Success",
  "Error_Code": "00"
}

Claim History

The Claim History API provides detailed information about a health insurance claim based on inputs like policy number, claim number, and member code. It returns structured data including patient details, hospital information, diagnosis, treatment type, and reimbursement status. This API helps insurers, healthcare providers, and support teams track claim progress and access related documents.

Request Payload

Field Name	Data Type	Mandatory/Non-mandatory	Description
ClientCode	string	Non-Mandatory	Code representing the client or organization
PolicyNumber1	string	Non-Mandatory	Primary insurance policy number
ClaimNumber	string	Non-Mandatory	Unique identifier for the claim
FamilyId	string	Non-Mandatory	Identifier for the family group under the policy
MemberCode	string	Non-Mandatory	Unique code identifying the insured member

Sample Request Payload


{
  "ClientCode": "",
  "PolicyNumber1": "",
  "ClaimNumber": "112258500xxxx/01",
  "FamilyId": "",
  "MemberCode": ""
}

Response Payload

Field Name	Data Type	Description
Approved_Amount	string	Amount approved for the claim
Approved_Date	string	Date when the claim was approved
ClaimType	string	Type of claim (e.g., Cashless)
Claim_Amount	string	Total amount claimed
Claim_Number	string	Unique identifier for the claim
Claiment_Name	string	Name of the person claiming
Client_Code	string	Code representing the client
Client_Name	string	Name of the client
Date_Of_Admission	string	Date of hospital admission
Date_Of_Discharge	string	Date of hospital discharge
Diagnosis	string	Diagnosis details
DocName	string	List of required documents for claim processing
Document_Flag	string	Flag indicating document status
Hospital	string	Name of the hospital
Hospital_Address	string	Address of the hospital
Hospital_City	string	City where the hospital is located
Hospital_Name	string	Name of the hospital
Intermediary_Code	string	Code of the intermediary involved
Intimation_Date	string	Date when claim was intimated
Patient_Name	string	Name of the patient
Policy_End_Date	string	End date of the insurance policy
Policy_Start_Date	string	Start date of the insurance policy
Policy_Type	string	Type of insurance policy
Product	string	Insurance product name
Recommend_Date	string	Date of recommendation
Scheme	string	Insurance scheme name
Status	string	Current status of the claim
SubStatus	string	Sub-status of the claim
followUpDate	string	Date for follow-up
healthId	string	Health ID of the patient
isChildClaim	string	Indicates if the claim is for a child
mnyDeduction	string	Amount deducted from the claim
paidAmount	string	Amount paid out for the claim
procedures	string	Medical procedures performed
requirementsArrs	string	Array of additional requirements
totalSIUtilised	string	Total sum insured utilized
treatmentType	string	Type of treatment received
vchPolicyNumber	string	Voucher policy number
vchPriority	string	Priority level of the voucher
vchRemarks	string	Remarks related to the voucher

Sample Response Payload


{
  "ResponseObj": [
    {
      "Message": "Result fetched successfully.",
      "Code": "200"
    }
  ],
  "Response": [
    {
      "Time_of_Admission ": "",
      "Time_of_Discharge ": "",
      "CKYC_Flag": "",
      "CKYC_Number": "",
      "BankName": "AXIS BANK",
      "BankBranch": "KOLKATA",
      "IFSCCode": "UTIB0000016",
      "AccountNumber": "123123123",
      "Intermediary_Code": "",
      "Gender": "F",
      "DateOfBirth": "01/01/1996",
      "Status": "RI Registration Raised",
      "SubStatus": "RI Registration Raised",
      "Claim_Number": "1122585004098/01",
      "Claim_Amount": "33",
      "vchPolicyNumber": "31-25-0003448-00",
      "vchPriority": "",
      "mnyDeduction": "",
      "vchRemarks": "",
      "Policy_Start_Date": "01/01/2025",
      "Policy_End_Date": "31/12/2025",
      "Claiment_Name": "Eertrey ",
      "Patient_Name": "Eertrey ",
      "PCSDetails": null,
      "ICDDetails": [],
      "Date_Of_Admission": "01/07/2025",
      "Date_Of_Discharge": "04/07/2025",
      "Client_Name": "Vjhkhj Hjfkjh",
      "Hospital_Code": "HS2514649054",
      "Hospital_Name": "Non Vitraya",
      "Hospital": "Non Vitraya",
      "Hospital_Address": "SDFG",
      "Hospital_City": "Mumbai",
      "Product": "Activ One",
      "Policy_Type": "Activ One Max",
      "ClaimType": "Reimbursement",
      "Intimation_Date": "01/07/2025",
      "Diagnosis": "",
      "Approved_Amount": "",
      "Client_Code": "PT14895180",
      "Scheme": "",
      "Recommend_Date": "",
      "Approved_Date": "",
      "Document_Flag": "",
      "DocName": "Claim form- duly filled & signed*,Consultations,Discharge summary*,Investigation reports*,Hospital bills*,Pharmacy bills,Indoor case papers & daily Doctors notes,NEFT/Cancelled cheque/bank passbook*,Other,KYC  (This option in case claim amount is equal or more than 1 Lakh)",
      "isChildClaim": "",
      "requirementsArrs": [],
      "followUpDate": "10/10/2025 10:50:18",
      "healthId": "6051092512434665",
      "totalSIUtilised": "",
      "procedures": "",
      "treatmentType": "",
      "paidAmount": "",
      "coverSetAttribute": [
        {
          "name": "Cover",
          "value": "IPTT"
        },
        {
          "name": "Cover Name",
          "value": "In-patient Hospitalization"
        },
        {
          "name": "Expected Amount",
          "value": "33"
        },
        {
          "name": "Approved Amount",
          "value": ""
        },
        {
          "name": "Balance Sum insured",
          "value": "0"
        }
      ],
      "claimFollowUp": [
        {
          "createdBy": "APIUSER",
          "eventCode": "RR",
          "followUpDescription": "",
          "followUpStatusCode": "RR",
          "followUpTime": "10/10/2025 10:50:18",
          "remarks": "",
          "updatedBy": "APIUSER"
        },
        {
          "createdBy": "APIUSER",
          "eventCode": "Q",
          "followUpDescription": "",
          "followUpStatusCode": "Q",
          "followUpTime": "10/10/2025 10:50:14",
          "remarks": "",
          "updatedBy": "APIUSER"
        }
      ]
    }
  ]
}

MemberSearch

The Member Search API allows users to retrieve detailed coverage information for a specific insured member under a health policy. By providing inputs like policy number and member code, the API returns a list of benefits such as treatment types, coverage codes, and policy details. It helps insurers, healthcare providers, and digital platforms display personalized coverage data.

Request Payload


Field Name	Data Type	Mandatory / Non-Mandatory	Description
Policy_Number	string	Mandatory	Unique identifier for the insurance policy
Family_ID	string	Non-Mandatory	Identifier for the family group under the policy
Member_Code	string	Mandatory	Unique code identifying the insured member

Sample Request Payload

  {
    "SearchMemberObj": {
        "Policy_Number": "31-25-000xxxx-00",
        "Family_ID": "",
        "Member_Code": "PT1489xxxx"
    }
}

Response Payload

Field Name	Data Type	Description
Member_Code	string	Unique code identifying the insured member
Cover_Code	string	Code representing the specific coverage benefit
Cover_Name	string	Name of the coverage benefit
Loss_Type_Code	string	Code indicating the type of loss (if applicable)
Policy_Number	string	Insurance policy number
Member_Name	string	Full name of the insured member
Date_of_Birth	string	Date of birth of the member
Gender	string	Gender of the member
Relation	string	Relationship of the member to the policyholder
Limit	string	Coverage limit for the benefit (if applicable)
Applicable_Options	string	Additional options or conditions applicable to the coverage

Sample Response Payload

{ "Response": [ { "Member_Code": "PT1489xxxx", "Cover_Code": "52234108", "Cover_Name": "AYUSH Treatment", "Policy_Number": "31-25-000xxxx-00", "Member_Name": "dummy dummy", "Date_of_Birth": "07/08/2000", "Gender": "M", "Relation": "Self" }, { "Member_Code": "PT1489xxxx", "Cover_Code": "6212xxxx", "Cover_Name": "Domiciliary Hospitalization", "Policy_Number": "31-25-00xxxxx-00", "Member_Name": "dummy dummy", "Date_of_Birth": "07/08/2000", "Gender": "M", "Relation": "Self" }, ], "responseCode": "", "responseMessage": "" }

Policy Insured

The Policy Insured API retrieves detailed information about an insured member under a specific health insurance policy. By using the PolicyNumber and MemberId as path parameters, it returns member demographics, coverage details, and policy attributes. This API helps insurers, healthcare platforms, and support teams access accurate member-level data instantly.

Response Payload

Parent Node	Field Name	Data Type	Description
PolicyDetail	PolicyNumber	string	Unique identifier for the insurance policy
	PolicyExpiryDate	string	Date when the policy expires
	PolicyStatus	string	Current status of the policy
	Plan	string	Name of the insurance plan
	MasterPolicyNumber	string	Master policy reference number
	Product	string	Insurance product name
	proposer_pan_number	string	PAN number of the proposer
	FamilyDefinition	string	Type of family coverage
	UWDependentEntitlement	string	Underwriting dependent entitlement
	ApplicationDate	string	Date of application submission
	ValidFrom	string	Policy start date
	ValidTo	string	Policy end date
	Tenure	string	Duration of the policy
	BusinessType	string	Type of business
	Parent_Policy_Number	string	Reference to parent policy
	Medical_Type	string	Type of medical coverage
	Quote_Type	string	Quote classification
	Sub_Quote_Type	string	Sub classification of quote
	HAN_Number	string	Health Account Number
	OPD_reference_number	string	Reference number for OPD claims
	policy_start_date	string	Start date of the policy
	CKYC_Number	string	Central KYC number
	CKYC_Flag	string	Central KYC verification flag
	AML_Flag	string	Anti-Money Laundering flag
	If_FaceMatch	string	Face match verification status
	Digi_Locker_Verified	string	DigiLocker verification status
	Kyc_Transition_id	string	KYC transition identifier
	Politically_Exposed_Person	string	PEP flag
	ApplicationNo	string	Application number
	Post_issuance_date	string	Date of post issuance
	Post_issuance_time	string	Time of post issuance
	NumberofAdults	string	Number of adults covered
	NumberofChildren	string	Number of children covered
	PolicyOwnerName	string	Full name of the policy owner
	PolicyOwnerFirstName	string	First name of the policy owner
	PolicyOwnerMiddleName	string	Middle name of the policy owner
	PolicyOwnerLastName	string	Last name of the policy owner
	CustomerCode	string	Unique customer identifier
	DateOfBirth	string	Date of birth of the policyholder
	ProposarAge	string	Age of the proposer
	Gender1	string	Gender of the proposer
	MaritalStatus	string	Marital status of the proposer
	Nationality	string	Nationality of the proposer
	Mobile	string	Mobile number
	Email	string	Email address
	vchNominee	string	Nominee code
	Relationship	string	Relationship with nominee
	NomineeName	string	Name of the nominee
	Nominee_DOB	string	Date of birth of the nominee
	Nominee_Gender	string	Gender of the nominee
	NomineeAddress	string	Address of the nominee
	NomineeContactNumber	string	Contact number of the nominee
	AccountNumber	string	Bank account number
	ConfirmAccountNumber	string	Confirmation of bank account number
	IFSCCode	string	Bank IFSC code
	BankName	string	Name of the bank
	BankBranchName	string	Branch name of the bank
	MICRCode	string	MICR code of the bank
	AccountType	string	Type of bank account
BankPriority	string	Priority of the bank account
Policy_Expired	string	Indicates if the policy is expired
InsuredDetail	MemberId	string	Unique member identifier
	FullName	string	Full name of the insured member
	vchRelation	string	Relationship to the proposer
	DateOfBirth	string	Date of birth of the member
	Gender	string	Gender of the member
Cover_Details	Cover_Code	string	Code for the coverage benefit
	Cover_Discription	string	Description of the coverage
	SumInsured	string	Sum insured for the coverage
	Mandatory_or_Optional	string	Indicates if coverage is mandatory or optional

Sample Request Payload

  {
    "Response": {
        "PolicyDetail": {
            "PolicyNumber": "GHI-41-25-000xxxx-000",
            "PolicyExpiryDate": "01/07/2026",
            "PolicyStatus": "IF",
            "Plan": "MasterPolicyNumber",
            "Product": "Group Activ Health V3",
            "proposer_pan_number": "IXxxxx",
            "FamilyDefinition": "Individual",
            "UWDependentEntitlement": "Self",
            "ApplicationDate": "2025-07-02",
            "ValidFrom": "2025-07-02",
            "ValidTo": "2026-07-01",
            "Tenure": "1",
            "BusinessType": "New Business",
            "PolicyOwnerName": "dummy dummy",
            "CustomerCode": "PT147xxxxx",
            "DateOfBirth": "1984-06-12",
            "ProposarAge": "41",
            "Gender1": "M",
            "HomeAddress": {
                "Home_State": "MAHARASHTRA",
                "Home_District": "Amravati",
                "Home_City": "Amravati",
                "Home_Pincode": "444606"
            },
            "Mobile": "9860378813",
            "Email": "dummy-v@gmail.com",
            "SumInsured": "100000",
            "NetPremium": "1155.22",
            "AnnualPremium": "1155.22",
            "agentCode": "2103154",
            "agentName": "HDFC Bank - Telesales Group Business",
            "channel": "BANCA",
            "Policy_Expired": "No",
            "InsuredDetail": {
                "MemberId": "PT1476xxxxx",
                "FullName": "dummy",
                "Gender": "Male",
                "SumInsuredPerUnit": "100000"
            },
            "Cover_Details": [
                {"Cover_Code": "AC", "Cover_Discription": "Attendant Charges"},
                {"Cover_Code": "ACCD", "Cover_Discription": "Accidental Death Cover (AD)"},
                {"Cover_Code": "AIRAMBX", "Cover_Discription": "Air Ambulance Expenses"}
                
            ]
        }
    }
}

ProviderSearch

The Provider Search API enables users to search for healthcare providers based on location parameters such as city and state. It supports optional geolocation inputs like latitude and longitude for more precise results.

Request Payload

Field Name	Data Type	Mandatory / Non-Mandatory	Description
city	string	Mandatory	Name of the city where provider search is to be performed
state	string	Mandatory	Name of the state corresponding to the city
latitute	number (nullable)	Non-Mandatory	Latitude coordinate for location-based search
longitude	number (nullable)	Non-Mandatory	Longitude coordinate for location-based search

Sample Request Payload

{
    "city": "Carnicobar",
    "state": "Andaman & Nicobar Islands",
    "latitute": "",
    "longitude": ""
}

Response Payload

Parent Node	Field Name	Data Type	Description
Root	partyLists	null	List of provider parties (currently null)
response	responseCode	string	Code indicating the result of the API call
	responseMessage	string	Message describing the outcome of the API call
	messages	null	Additional messages or details (currently null)

OmniDocsUpload

The Omni Upload API facilitates secure document uploads from external systems to the document management system. It accepts metadata like category ID, document ID, file name, and optional reference details, along with classification parameters. Upon successful upload, the API returns a unique global ID, document and image indexes, and a status message.

Request Payload

Field Name	Data Type	Mandatory / Non-Mandatory	Description
CategoryID	string	Mandatory	Identifier for the document category
DocumentID	string	Mandatory	Unique identifier for the document
ReferenceID	string (nullable)	Non-Mandatory	Reference identifier linked to the document
SharedPath	string (nullable)	Non-Mandatory	Path where the document is shared or stored
FileName	string	Mandatory	Name of the uploaded file
Description	string	Mandatory	Description or purpose of the document
DocSearchParamId	string	Mandatory	Identifier for the document search parameter
Value	string	Mandatory	Value associated with the document search parameter
SourceSystemName	string	Mandatory	Name of the source system initiating the upload
Identifier	string	Mandatory	Unique identifier for the upload request (e.g., bytearray)

Sample Response Payload

{
    "UploadRequest": {
        "CategoryID": "1001",
        "DocumentID": "2365",
        "ReferenceID": "SharedPath",
        "FileName": "112258535xxxx_CKYC Proof_202510201xxxxxx_2.jpg",
        "Description": "112258535xxxx_CKYC Proof_2025102010xxxx_2.jpg",
        "DataClassParam": {
            "DocSearchParamId": "1",
            "Value": "112258535xxxx"
        },
        "AdditionalParams": {
            "DocSearchParamId": "2",
            "Value": "31-25-008xxxx-00"
        },
        "Year": "2025",
        "Month": "October",
        "SourceSystemName": "ubona",
        "Identifier": "ByteArray"
    }
}

Response Payload

Field Name	Data Type	Description
GlobalId	string	System-generated unique identifier for the uploaded document
CategoryId	string	Identifier for the document category
DocumentId	string	Unique identifier for the document type
ReferenceId	string	Reference identifier linked to the document (if applicable)
FileName	string	Name of the uploaded file
DocumentIndex	string	Index number assigned to the document in the system
ImageIndex	string	Index number assigned to the image in the system
Status	string	Upload status of the document (e.g., SUCCESS)
Code	string	Status code indicating the result of the upload
Description	string	Description of the upload result or error message

Sample Response Payload

      {
    "UploadResponse": {
        "GlobalId": "DE965288F00A4436A76xxxxx",
        "CategoryId": "1001",
        "DocumentId": "2365",
        "ReferenceId": "",
        "FileName": "1122585353938_CKYC Proof_2025102010xxxx_2.jpg",
        "DocumentIndex": "80006xxx",
        "ImageIndex": "85490xxx",
        "Status": "SUCCESS",
        "Error Code": "0",
        "Description": "SUCCESS"
    }
}

PrepostClaims

This API is used for pre-authorization claim submission in a health insurance system. It accepts detailed claim information such as policy number, hospital details, admission/discharge dates, and patient details, and responds with a confirmation message including a generated claim number and status.

Request Payload

Parent Node	Field Name	Data Type	Mandatory / Non-Mandatory	Description
PreAuthObj	Policy_Number	string	Mandatory	Policy Number
	FamilyId	string	Mandatory	Family ID
	Claim_Intimation_Through	string	Mandatory	Mode of claim intimation
	Claim_Intimation_Source	string	Mandatory	Source of claim intimation
	Intimation_Type	string	Mandatory	Type of claim (e.g., Reimbursement)
	Cover_code	string	Mandatory	Coverage code
	Cover_Name	string	Mandatory	Name of the coverage
	Hospital_Name	string	Non-Mandatory	Name of the hospital
	Hospital_Code	string	Mandatory	Hospital identifier code
	Diagnosis	string	Mandatory	Diagnosis description
	Date_of_Admission	string	Mandatory	Date of admission
	Time_of_Admission	string	Mandatory	Time of admission
	Date_of_Discharge	string	Mandatory	Date of discharge
	Time_of_Discharge	string	Mandatory	Time of discharge
	Claim_Amount	string	Mandatory	Claimed amount
	Source_System_Code	string	Mandatory	System source code
	Document_Received_Date	string	Mandatory	Date when documents were received
	Document_Received_Time	string	Mandatory	Time when documents were received
	Patient_Name	string	Non-Mandatory	Name of the patient
	Bank_Name	string	Mandatory	Name of the bank
	Bank_Branch_Name	string	Mandatory	Branch name of the bank
	Account_No	string	Mandatory	Bank account number
	IFSC_Code	string	Mandatory	IFSC code of the bank
	ParentClaimNumber	string	Mandatory	Reference to parent claim
PreexistingObj	Preexisting_Deases	string	Non-Mandatory	Pre-existing disease name
	Status	string	Non-Mandatory	Status of the disease
	Sincewhen	string	Non-Mandatory	Duration since disease exists
	Remarks	string	Non-Mandatory	Additional remarks
PCSObj	PCS_Code	string	Non-Mandatory	Procedure code
ICDObj	ICD_Code	string	Non-Mandatory	ICD diagnosis code
DocObj	UploadStatus	string	Mandatory	Status of document upload
DocObj	Filename	string	Non-Mandatory	Name of the uploaded file

Sample Request Payload

{
  "PreAuthObj": {
    "Policy_Number": "GHI-41-25-000xxxx-000",
    "FamilyId": "PT1487xxxx",
    "Claim_Intimation_Through": "Online",
    "Claim_Intimation_Source": "CUSTOMERPORTAL",
    "Intimation_Type": "Reimbursement",
    "Cover_code": "42114101",
    "Cover_Name": "In-Patient hospitalization",
    "Hospital_Name": null,
    "Hospital_Code": "HS00001273",
    "Diagnosis": "",
    "Date_of_Admission": "08/28/2025",
    "Time_of_Admission": "",
    "Date_of_Discharge": "08/30/2025",
    "Time_of_Discharge": "",
    "Claim_Amount": "34324",
    "Source_System_Code": "CUSTOMERPORTAL",
    "Document_Received_Date": "10/20/2025",
    "Document_Received_Time": "11:06",
    "Patient_Name": null,
    "Co_morbidities": "",
    "Service_flag": "",
    "Name_Of_Treating_Doctor": "",
    "Doctor_Contact_No": "",
    "Duration_Of_Present_Ailment": "",
    "Proposed_line_of_treatment": "",
    "Investigation_MedicalManagementDetails": "",
    "Name_Of_Surgery": "",
    "IRDA_Code_Of_surgery": "",
    "How_did_injury_occur": "",
    "Case_Of_accident": "",
    "IsItRTA": "",
    "Date_Of_Inhury": "",
    "ReportedtoPolice": "",
    "FirNo": "",
    "Injury_Disease_Alcohalconsumption": "",
    "IsMaternity": "",
    "G": "",
    "P": "",
    "L": "",
    "A": "",
    "Date_Of_Delivery": "",
    "Emergency_Planned_Event": "",
    "Room_Type": "",
    "DeaseasWithPresentingComplaints": "",
    "ReleventClinicalFinding": "",
    "DateOfFirstConsultation": "",
    "ProvisionalDiagnosis": "",
    "Doctor_Registration_No": "",
    "IsPreexisting": "",
    "IsNaturalCalamityCase": "",
    "Test_ConductedToEstablishThis": "",
    "AlcohalordrugAbuse": "",
    "AnyHivorStdRelatedAilments": "",
    "AnyOtherAilments": "",
    "Other_Ind": "",
    "Hospital_Nm": "",
    "Hospital_Address": "",
    "Hospital_Country": "",
    "Hospital_State": "",
    "Hospital_District": "",
    "Hospital_City": "",
    "Hospital_PinCode": "",
    "Hospital_Mail": "",
    "Hospital_StdCode": "",
    "Hospital_PhoneNo": "",
    "Hospital_MobileNo": "",
    "Hospital_FaxNo": "",
    "Hospital_WebSite": "",
    "Hospital_LandMark": "",
    "CKYC_Flag": "N",
    "CKYC_Number": "",
    "Account_HolderName": "",
    "Bank_Name": "AXIS BANK",
    "Bank_Branch_Name": "MUMBAI BRANCH",
    "Account_No": "1730102xxxxxxx",
    "IFSC_Code": "UTIB000xxxx",
    "ParentClaimNumber": "122258500xxxx"
  },
  "PreexistingObj": [ {"Preexisting_Deases": "", "Status": "", "Sincewhen": "", "Remarks": ""} ],
  "PCSObj": [ {"PCS_Code": ""} ],
  "ICDObj": [ {"ICD_Code": ""} ],
  "DocObj": [ {"UploadStatus": "No", "Filename": ""} ]
}

Response Payload

Field Name	Data Type	Description
Code	string	Response code indicating the result of the API call
Message	string	Message describing the outcome of the operation
Claim_Number	string	Unique identifier for the insurance claim
claimStatus	string	Current status of the claim process

Sample Response Payload

{
  "Code": "200",
  "Message": "Saved SuccessFully",
  "Claim_Number": "122258500xxxx/02",
  "claimStatus": "RI Registration Raised"
}

Endorsement

The Endorsement API is designed to facilitate the submission and processing of endorsement requests for insurance policies. In the insurance domain, an endorsement refers to any formal amendment or update made to an existing policy. These changes can be initiated by the policyholder or the insurer and may include modifications to personal details, coverage terms, beneficiary information, or other policy-related attributes.

Request Payload

Parent Node	Field Name	Data Type	Mandatory/Non-mandatory	Description
Root	endorsementReason	String	Yes	Reason for the endorsement
	eventEffectiveDate	String (Date)	No	Effective date of the endorsement
	roleCode	String	Yes	Role of the user initiating the request
	typeofEndorsement	String	Yes	Type of endorsement
	endorsementAttribute	Array of Objects	No	Additional endorsement attributes
endorsementAttribute[]	name	String	Yes	Name of the attribute
	value	String	No	Value of the attribute
createProposalRequest	flag	String	Yes	Operation flag (e.g., 'E' for endorsement)
	productCode	String	No	Product code of the insurance policy
	policyBranch	String	No	Branch code of the policy
	policyTermUnit	String	No	Unit of policy term
	policyInceptionDate	String (Date)	No	Start date of the policy
	policyStatus	String	No	Current status of the policy
	premiumDepositMode	String	No	Mode of premium deposit
	premiumFrequency	String	No	Frequency of premium payment
	proposalNumber	String	No	Proposal number
	policyNumber	String	Yes	Unique identifier of the policy
	alternateemail	String	No	Alternate email of the policyholder
	alternatemobilenumber	String	No	Alternate mobile number
	policyExpiryDate	String (Date)	No	Expiry date of the policy
	policyTerm	String	No	Duration of the policy
	baseCurrencyRate	Decimal/String	No	Exchange rate for base currency
	baseCurrency	String	No	Base currency
	premiumCurrencyRate	Decimal/String	No	Exchange rate for premium currency
	premiumCurrency	String	No	Premium currency
	entityType	String	No	Type of entity (individual/organization)
	basicdetailAttribute	Array	No	Additional basic details
	paymentInfo	Array	No	Payment-related information
	members	Array of Objects	No	List of insured members
members[]	benefits	Array	No	Benefits applicable to the member
	discount	Decimal/String	No	Discount applied
	expiryDate	String (Date)	No	Member coverage expiry date
	grosspremium	Decimal/String	No	Gross premium amount
	inceptionDate	String (Date)	No	Member coverage start date
	loading	Decimal/String	No	Loading applied to premium
	medicalDetails	Array	No	Medical details
	medicalDigitization	Array	No	Digitized medical records
	memberDetails	Array of Objects	No	Additional member attributes
	netpremium	Decimal/String	No	Net premium amount
	party	Object	Yes (partial)	Party details of the member
	questionnaire	Array	No	Questionnaire responses
	requirement	Array	No	Requirements for the member
memberDetails[]	name	String	Yes	Name of the attribute
	value	String	Yes	Value of the attribute
	multisetAttribute	Array	No	Additional attributes
party	partyCode	String	Yes	Unique identifier for the party
	firstName	String	No	First name
	lastName	String	No	Last name
	middleName	String	No	Middle name
	initial	String	No	Initials
	otherName	String	No	Other name
	dateofBirth	String (Date)	No	Date of birth
	sex	String	No	Gender
	nationality	String	No	Nationality
	occupation	String	No	Occupation
	contactDetails	Array	No	Contact information
	partyDetails	Array	No	Additional party details
	businessName	String	No	Business name
	company	String	No	Company name
	citizenshipId	String	No	Citizenship ID
	parentPartyCode	String	No	Parent party code
	indvOrOrg	String	No	Individual or Organization
	effectiveDate	String (Date)	No	Effective date
createProposalRequest	documents	Array	No	Document list
	requirements	Array	No	Requirement list
	policyPaymentCycleDetails	Array	No	Policy payment cycle details
	notes	Array	No	Notes
	collectionDetail	Array	No	Collection details
	endorsementDetails	Array	No	Endorsement details

Sample Request Payload


{
  "CrossSaleReferenceNumber": "",
  "Endorsement": [
    {
      "Service_Request_Number": "182924xxxx",
      "Policy_Number": "21-25-000xxxx-00",
      "Home_Address1": "",
      "Home_Address2": "",
      "Home_Address3": "",
      "Home_Pincode": "",
      "Home_Mobile1": "",
      "Home_Mobile2": "",
      "Home_Mobile3": "",
      "Home_LandLine1": "",
      "Home_LandLine2": "",
      "Home_FaxNo": "",
      "Home_Area": "",
      "SameASHome": "",
      "Mailling_Address1": "",
      "Mailling_Address2": "",
      "Mailling_Address3": "",
      "Mailling_Pincode": "",
      "MemObj": {
        "Member": {
          "Member_AdharNumber": "",
          "Member_AlternateEmailId": "",
          "Member_AlternateNumber": "",
          "Member_AnnualIncome": "",
          "Member_ContactNumber": "",
          "Member_Education": "",
          "Member_EmailId": "",
          "Member_FirstName": "",
          "Member_Height": "",
          "Member_LastName": "",
          "Member_Occupation": "",
          "Member_PAN": "",
          "Member_Weight": "",
          "MemberCode": "",
          "MemberNo": ""
        }
      },
      "Mailling_Mobile1": "",
      "Mailling_Mobile2": "",
      "Mailling_Mobile3": "",
      "Mailling_LandLine1": "",
      "Mailling_LandLine2": "",
      "Mailling_FaxNo": "",
      "Mailling_Area": "",
      "Email1": "",
      "Email2": "",
      "Email3": "",
      "Alternateemail": "",
      "AADHAR_Number": "",
      "PAN": "",
      "Nominee_Relationship": "",
      "Nominee_Name": "",
      "Nominee_Contact_Number": "",
      "Height": "",
      "Weight": "",
      "Country_Code": "",
      "Internation_Contact_No": "",
      "Internation_Address": "",
      "Flag": "18",
      "PostIssuanceDate": "06/10/2025",
      "PostIssuanceTime": "15:19",
      "eventeffectivedate": "06/10/2025",
      "PreferredLanguages": "MR"
    }
  ],
  "IsCombi": "N"
}

Response Payload

Parent Node	Field Name	Data Type	Description
Root	clonePolicyNumber	String	Policy number being cloned for endorsement
	isFinancialEndorsement	String (Enum: Y/N)	Indicates if the endorsement has financial implications
memberPremiumDetails[]	memberCode	String	Unique code identifying the member
	memberName	String	Full name of the member
	grosspremium	Decimal	Gross premium amount before taxes and discounts
	netpremium	Decimal	Net premium amount after adjustments
	taxAmount	Decimal	Tax amount applicable to the member
premiumDetailsBeforeEndorsement.premiumDetails[]	name	String	Name of the premium component before endorsement
	value	Decimal/String	Value of the premium component before endorsement
premiumDetailsAfterEndorsement.premiumDetails[]	name	String	Name of the premium component after endorsement
	value	Decimal/String or Null	Value of the premium component after endorsement
response	responseCode	String	Response code indicating success or failure
	responseMessage	String	Message describing the result of the endorsement
	messages	Null or Array	Additional messages or errors, if any

Sample Response Payload


{
  "Response": {
    "ErrorNumber": "0",
    "ErrorMessage": "Sucess",
    "Endorsement_Number": "12-25-003xxxx-00-01",
    "DCN_Number": "",
    "Status": "CH",
    "Policy_Number": "12-25-003xxxx-00",
    "InwardNumber": "25000255xxxx"
  }
}